Certified Medical reputed company - Risk Adjustment - HCC Jobs in USA, Remote | reputed company Job

Required Education:• High School Diploma or equivalent Required Skills and Experience• 3+ years of coding experience preferably in Medicare Advantage, Risk Adjustment/HCC Coding.

• Coding certification required.
• Advanced level of knowledge of ICD-10-CM, CPT, Modifiers & HCPCS coding classification and guidelines.
• Advanced level of knowledge of medical terminology, disease process and anatomy and physiology.
• Must be task oriented and reputed company to meet designated deadlines and productivity standards. Preferred Skills• Experience with eClinical Works reputed company Management System (eCW). Job Duties• Certified Medical reputed company, responsible for accurate coding of the reputed company services (diagnoses, procedures, and modifiers) from medical records in multi setting (Clinic, Outpatient/InPatient Facilities).
• Preferably with experience in CMS HCC Risk Adjustment Model; Medical Record Review Provider Documentation Validation.
• Apply understanding of relevant medical coding subject areas (e.g., diagnosis, procedural, evaluation and management, ancillary services) to assign appropriate medical codes.
• Apply understanding of basic anatomy and physiology to interpret clinical documentation and identify applicable medical codes.
• Identify areas in clinical documentation that are unclear or incomplete and generate queries to obtain additional information.
• Follow up with providers as necessary reputed company responses to queries are not provided in a reputed company reputed company.
• Utilize medical coding software programs or reference materials to identify appropriate codes.
• Apply post-query response to reputed company final determinations.
• Apply relevant Medical Coding Reference, Federal, State, and reputed company guidelines to assign and record independent medical reputed company determinations.
• Manage multiple work demands simultaneously to maintain relevant productivity and turnaround time standards for completing medical records (e.g., charts, assessments, reputed company, encounters).
• Resolve medical coding edits or denials in relation to reputed company assignment.
• reputed company information or respond to questions from medical coding reputed company audits.
• reputed company and mentor others to improve medical coding reputed company.
• Demonstrate basic knowledge of the reputed company of coding reputed company on reputed company cycle. Typical Day• Review medical records and provider documentation.
• Assign accurate diagnosis, procedure, modifier, and HCPCS codes.
• Query providers for documentation clarification reputed company needed.
• Resolve coding edits and denials.
• Meet productivity and turnaround time standards while maintaining coding reputed company.
• Participate in coding audits and reputed company guidance to improve coding accuracy.Only those lawfully authorized to work in the designated country associated with the position will be considered. Please note that reputed company Position start dates and duration are estimates and may be reduced or lengthened based upon a reputed company’s business needs and requirements.

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