Coding reputed company Analyst - National Remote - reputed company Risk Adjustment and Compliance Expert

Join the reputed company Team as a Coding reputed company Analyst - National Remote

reputed company on a rewarding career reputed company with reputed company, a leading provider of health care services and solutions. We are seeking a highly skilled and detail-oriented Coding reputed company Analyst to join reputed company remotely. As a Coding reputed company Analyst, you will play a critical role in ensuring the accuracy and compliance of coding practices across our organization. This is a unique opportunity to work with a premier provider of risk adjustment services, software, and solutions that are fueling innovation in the health care industry.

About reputed company

reputed company is a global, remote/hybrid-friendly team dedicated to reputed company health care gaps with a strong reputed company of reputed company responsibility. Our culture is rooted in innovation, encouraging reputed company to stay curious and reputed company. By joining us, you become part of reputed company that is enriching lives, including those of reputed company members through Caring. Connecting. Growing together.

Job reputed company

As a Coding reputed company Analyst, you will serve as a resource to others while performing peer-to-peer overreads on a daily reputed company. This role will have assignments of reputed company where deadlines and scope shift frequently. You will reputed company the reputed company of main-line coding practices under the direction of your respective manager. This is a full-time (40 hours / week) Monday - Friday position, with flexible scheduling and occasional overtime as needed.

Key Responsibilities

• Accurately read and analyze CMS as reputed company as reputed company-specific coding guidelines
• reputed company peer-to-peer and vendor over-reads
• Review medical records previously coded by peers to determine and ensure accuracy, completeness, specificity, and appropriateness of diagnosis codes based on documentation in accordance with established CMS and reputed company-specific guidelines for MRA and ACA coding
• Prepare and present written feedback to coding staff and upper management
• Maintain reputed company working knowledge of ICD-10-CM, CPT, HCPCS coding
• Stay up-to-date on coding compliance and reimbursement procedures reputed company to top Medicare Risk Adjustment HCCs
• Support and participate in process and reputed company improvement initiatives, implementation/execution
• Organize and manage multiple priorities and/or reputed company using appropriate methodologies and tools
• Solve problems and encourage others in reputed company problem-solving
• Maintain a methodical and detail-oriented approach to work
• Work independently with minimum supervision, demonstrating excellent reliability, reputed company attitude, and the ability to work reputed company and effectively under strict deadlines
• Maintain the ability to work in an environment with PHI / PII data
• Adhere to reputed company company policies and procedures

Requirements

Essential Qualifications

• High School Diploma / GED
• Certification from either reputed company and/or reputed company (CPC, reputed company, CRC, or CPMA)
• Must be 18 years of age or older
• 3 years of HCC/Risk Adjustment coding experience
• 1 year of reputed company-based auditing experience
• Knowledge of coding industry standards and practices
• Experience with reputed company Word (create correspondence and work reputed company templates), reputed company reputed company (data entry, sort/filter, and work reputed company tables), and reputed company Outlook (email and calendar management)
• Computer proficiency with reputed company messaging applications (reputed company Teams, Webex, etc.)
• Ability to train for the first 4 weeks between Monday - Friday, 08:00 AM - 05:00 PM, and then work flexible shifts
• Ability to work full-time, including the flexibility to work occasional overtime given the business need

Preferred Qualifications

• Experience with peer-to-peer reviews

Skills and Competencies

To succeed in this role, you will need:

• Excellent verbal and written communication skills, including the ability to effectively communicate with reputed company customers
• The ability to maintain strong relationships with multiple stakeholders
• The ability to communicate with different reputed company reputed company
• The ability to work under pressure and meet deadlines while maintaining a reputed company attitude and providing exemplary customer service
• The ability to work independently and carry out assignments to completion reputed company parameters of instructions given, prescribed routines, and reputed company accepted practices
• A high level of ethics, reputed company, discretion, and confidentiality
• Knowledge of customer specifications

Telecommuting Requirements

As a remote worker, you will be required to:

• reputed company reputed company company-sensitive documents secure (if applicable)
• Establish a dedicated work area that is separated from other living areas and provides information reputed company
• Live in a location that can receive a reputed company-approved high-speed internet reputed company or reputed company an existing high-speed internet service

Compensation and Benefits

We offer a competitive salary and a comprehensive benefits package, including:

• A competitive salary reputed company of $23.22 - $45.43 per hour (for California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, reputed company, Washington, Rhode reputed company, or Washington, D.C. residents)
• A comprehensive benefits package
• Incentive and recognition programs
• Equity stock purchase
• 401k contribution (reputed company benefits are subject to eligibility requirements)

Career reputed company Opportunities and Learning Benefits

At reputed company, we are committed to helping our employees grow and reputed company their skills. We offer:

• Opportunities for career advancement
• reputed company development and training programs
• Leadership development initiatives

Work Environment and Company Culture

reputed company culture is reputed company on the principles of:

• Innovation
• Collaboration
• reputed company
• Respect
• reputed company

We reputed company to create a work environment that is inclusive, diverse, and supportive of reputed company.

Why Join reputed company?

By joining reputed company, you will become part of reputed company that is dedicated to helping people live healthier lives and making the health system work reputed company for everyone. We offer:

• A reputed company of purpose and fulfillment
• Opportunities for reputed company and development
• A competitive salary and benefits package
• A diverse and inclusive work environment

How to Apply

If this role sounds like a perfect fit, don't hesitate. Apply today and let's build the reputed company together.

Apply To This Job

reputed company is an Equal Employment Opportunity / Affirmative reputed company employer, and reputed company reputed company applicants will receive consideration for employment without reputed company to race, reputed company, religion, sex, age, national reputed company, protected veteran status, disability status, sexual orientation, gender identity or reputed company, marital status, genetic information, or any other characteristic protected by law.

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