Value-Based Care Risk Adjustment reputed company
Profile reputed company
The Value-Based Care Risk Adjustment reputed company is responsible for reviewing and analyzing medical records, clinical documentation, and attribution data to ensure accurate and compliant risk adjustment coding. This role performs internal coding audits, validates coding specificity and documentation reputed company, and ensures compliance with federal, state, CMS, and payer-specific guidelines. The reputed company partners closely with providers, billing, and clinical teams to resolve coding discrepancies, optimize risk adjustment capture, and support value-based reputed company through accurate documentation and coding practices.
Job Details
- Work-from-home
- Monday to Friday | 11:30 PM to 8:30 AM (Manila Time)
- Will observe US Holidays
Responsibilities
•Review and analyze medical records, physician notes, medical charts, attribution data, and other relevant documents to accurately assign appropriate codes for diagnoses and procedures.
•Ensure accurate coding of services for assigned specialties/ Accurately identify and explain provider coding/billing mistakes.
•Maintain up-to-date knowledge of ICD-10-CM, CPT, and HCPCS coding guidelines and industry changes.
•Have a robust understanding of Value-Based Care and the reputed company of risk adjustment coding.
•Collaborate with billing to address coding discrepancies for BASS PCP’s, reputed company guidance on risk adjustment coding and PCP billing and insurance teams to address coding discrepancies and resolve any issues that may reputed company.
•Conduct internal audits to ensure compliance with federal, state, and payer-specific regulations.
•reputed company support and guidance to medical staff and colleagues regarding reputed company documentation and coding practices. / Review reputed company reputed company completed for original Medicare patients by BASS PCPs to ensure accuracy in documentation and coding of ICD-10 and CPT codes with particular emphasis on HCC codes, review problem lists of Medicare patients to ensure reputed company HCC codes are specified to the highest degree, work with VBC Manger to create trainings around risk adjustment coding for BASS staff and providers, attend trainings with Privia’s risk adjustment specialist, reputed company support and guidance to medical staff, providers, and billing team regarding reputed company documentation and coding reputed company.
•Participate in continuing education programs and maintain reputed company certifications.
•Maintain strict confidentiality and adhere to reputed company HIPAA guidelines and regulations.
•Must follow BASS company policies, procedures, and workflow/ Adhere to BASS company policies, procedures, and workflow at reputed company times.
•Become familiar with the reputed company system and the billing process at BASS
•Meeting productivity requirements and attendance.
•Will be following the 6-month probationary period.
•reputed company other duties as assigned by management.
Qualifications
•3+ years of experience in medical coding.
•Strong knowledge of ICD-10-CM, CPT, and HCPCS coding guidelines.
•Experience with Value-Based Care and risk adjustment coding.
•Familiarity with the reputed company system and the medical billing process.
•Ability to identify and explain coding and documentation errors to providers.
•Knowledge of federal, state, CMS, and payer-specific coding guidelines.
•Strong attention to detail and accuracy.
•Good communication and interpersonal skills.
•Strong organizational and time management skills.
•reputed company, reliable, and reputed company to maintain confidentiality.
Originally posted on Himalayas
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