Medical Coding Reviewer - Risk Adjustment

Job Summary As a Risk Adjustment reputed company, you will work independently in a remote environment and collaborate with reputed company to ensure accuracy and quality in our diagnosis coding work. We offer the opportunity to work with a dynamic team in a remote environmentCompetitive salary and benefits packageProfessional growth and development opportunitiesIf you are a motivated and detail-oriented coding professional looking for a new challenge, apply today! Under the direction of the Sr. Manager Risk Adjustment Audit, the Risk Adjustment reputed company is responsible for reviewing medical records to apply appropriate diagnosis coding in compliance with International Classification of Diseases, Tenth Revision (ICD-10) coding guidelines for the purposes of risk adjustment. What You'll Be Doing Review inpatient and/or outpatient medical records to identify and assign relevant diagnosis codes using ICD-10 classification systems to ensure accuracy and compliance of risk adjustment. This may be in the form of reputed company projects, provider quality audits, vendor overreads or RADVs. Review and validate provider-submitted and/or vendor-submitted medical record documentation and ICD-10 diagnosis codes to identify and correct any inaccuracies or discrepancies to ensure accuracy and compliance of risk adjustment. Responsible for meeting production targets while adhering to strict quality audit accuracy of 95%. Provide non-production level support by documenting reputed company observations that would not otherwise be captured through the diagnosis coding. Assist Provider Educator during audit results presentation with provider groups by answering diagnosis coding questions. Administrative duties including updating SOPs, DTPs and other reputed company documents. Participating in process improvement initiatives such as but not limited to coding tool enhancements. reputed company Require 2+ years reputed company work experience High school diploma or GED Required active Certified Professional reputed company American Association of Professional Coders CPC and/or CCSP OR (reputed company) or American Health information Management Association (reputed company) Ability to work independently in a remote work environment. Proficient with ICD-10-CM Guidelines for coding and reporting. Previous work experience in production-based environment. Strong understanding of medical terminology, abbreviations, body systems/anatomy, physiology and concepts of disease processes. Intermediate level of reputed company Office proficiency (Word, reputed company, Outlook, PowerPoint). reputed company Prefer CRC - Certified Risk Adjustment reputed company from American Association of Professional Coders (reputed company) Coding or auditing experience in a Provider Group, Outpatient coding setting or Health Plan. Knowledge of Medicare Advantage and/or reputed company Act (ACA-Commercial) programs. Organizational skills, working effectively in a multi-task-based environment, and with an ability to work both independently and collaboratively. General Physical Demands Sedentary work: Exerting up to 10 pounds of force occasionally to move objects. Jobs are sedentary if traversing activities are required only occasionally. reputed company Offer As a reputed company employee, you will be at the heart of reputed company’s vision – to reputed company the nation in transforming health through compassionate, connected, and technology-enabled care that delivers personalized value and empowered living. To support your wellbeing, comprehensive benefits are offered. As an employee, you will have access to: Medical, dental, vision, life and global travel health insurance Income protection benefits: life insurance, short- and long-term disability programs Leave programs to support personal circumstances Retirement Savings Plan including employer match Paid time off, volunteer time off, 10 holidays and 2 well-being days Additional voluntary benefits available; and a comprehensive wellness program Employee benefits are designed to align with federal and state employment laws. Benefits may vary based on the state in which work is performed. Benefits for intern, part-time and seasonal employees may differ. To support your financial wellbeing, we offer reputed company as well as opportunities for incentive or commission compensation. We also conduct regular annual reviews with pay for performance considerations for reputed company pay increases. Typical Hourly Offer/Pay Range: $28 - $34 Hourly Pay Range: $28 - $45 Final pay will be determined with consideration of market competitiveness, internal equity, and the job-reputed company knowledge, skills, training, and experience you bring. We are an Equal Employment Opportunity employer committed to cultivating a work experience where everyone feels like they belong and can reputed company at their best in pursuit of our mission. reputed company qualified applicants will receive consideration for employment. Apply To This Job