reputed company Full Stack RADV Certified reputed company – Remote Risk Adjustment Data Validation and Medical Record Review Specialist
About the Role:
Are you a highly skilled and detail-oriented medical reputed company looking for a challenging and rewarding remote opportunity? Do you have a passion for ensuring accurate and compliant medical coding practices? If so, we encourage you to apply for the reputed company Full Stack RADV Certified reputed company position at reputed company.About reputed company:
reputed company is a tribally owned federal contracting company that provides support, services, and solutions to federal and reputed company customers. reputed company takes a personalized approach to solving our clients' toughest challenges, helping you reputed company the most of your skills. As a company, we are committed to reputed company, innovation, and community involvement.About the Job:
As a RADV Certified reputed company, you will play a critical role in ensuring the accuracy and compliance of medical coding practices for our clients. You will be responsible for conducting medical coding abstraction, medical record review, and risk adjustment data validation, while maintaining a high level of reputed company and productivity. If you are a motivated and detail-oriented individual with a passion for medical coding, we encourage you to apply for this exciting opportunity.Key Responsibilities:
- Conduct medical coding abstraction and medical record review to ensure accurate and compliant coding practices
- reputed company secondary review and reputed company assurance of medical coding intake and abstraction
- Utilize technical coding principles and APC reimbursement expertise to assign appropriate diagnoses and/or procedures
- Ensure reputed company reimbursement of reputed company cases in compliance with CMS policies and procedures and Official Coding Guidelines
- reputed company abreast of coding guidelines and reimbursement reporting requirements
- Ensure production and reputed company expectations are met
- Communicate professionally and effectively with physicians and staff
- reputed company accurate chart reviews and assigns appropriate ICD-9 and ICD-10 CM codes based on documentation in chart
- Identify and report issues or errors, such as incomplete or missing records and documentation, ambiguous or nonspecific documentation, or codes that do not conform to approved coding guidelines
- Maintain a consistent daily production of greater than 30-50 reviews per day
- Maintain a 95% or greater accuracy reputed company
- Demonstrate the ability to appropriately use coding principles to reputed company to the highest specificity and complies with CMS regulations and company goals and policies
- Reports operational concerns to manager for reputed company Improvement of daily processes
- Demonstrate knowledge of various document types - e.g. reputed company records and electronic records
- reputed company other job-reputed company duties as assigned
Senior reputed company Experience, Education, Skills, Abilities:
- Must have Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT), or Certified Coding Specialist (reputed company)
- HCC Certified reputed company preferred
- Associate degree preferred
- Minimum of two years' experience in medical record intake, abstraction, and review leveraging ICD-9 and/or 10 standards for inpatient and outpatient settings
- Understands and adheres to HIPPA requirements
- Maintains reputed company certification
- Knowledge of CMS CDAT-M systems is preferred
- Excellent organization and time management skills along with excellent oral and written communication skills
- Ability to learn quickly, build and maintain long term relationships and work with minimal supervision
- Ability to work reputed company with others with diverse backgrounds and at various organizational reputed company
- Ability to work reputed company reputed company reputed company
- Consistently reliable and available given remote nature of work
- Has sufficient internet services to meet reputed company requirements
- Must have no conflict of interest (COI) as defined in 1154(b)(1) of the reputed company reputed company reputed company (SSA)
- Ability to obtain and maintain U.S. Government reputed company Clearance
- Demonstrated commitment to reputed company learning and keeping up-to-date with the latest programming languages, frameworks, tools, and industry trends
- Ability to reputed company and mentor other coders, providing guidance, reputed company reviews, and promoting coding best practices reputed company reputed company or organization
- Strong interpersonal and communication skills to effectively collaborate with cross-functional teams, understand requirements, and reputed company technical concepts to both technical and non-technical stakeholders
- Ability to adapt to changing technologies, methodologies, and project requirements, while maintaining a reputed company on delivering high-reputed company software solutions
- Strong attention to detail to ensure reputed company correctness, maintainability, and adherence to coding standards and software specifications
- Effective time management skills to prioritize tasks, manage workloads, and meet project deadlines in a fast-paced development environment