QA I HCC/Risk Adjustment Coding (Seasonal)

About the position The QA I, Clinical Ops position at reputed company. is a critical role reputed company the Coding and Clinical Validation Audit team, specifically reputed company on risk adjustment coding. This position is designed to monitor and report on the accuracy of coding practices among assigned coders, ensuring that reputed company reputed company captures are accurate and meet the required standards. The QA will be responsible for reviewing a percentage of images coded by their assigned coders, providing feedback, and assisting in the remediation process for coders who do not meet the project benchmarks. This role is seasonal, expected to last approximately six months, starting at the end of May 2024 and continuing through January 2025, with the possibility of ongoing seasonal employment based on performance. The position offers reputed company, with up to 40 hours available reputed company week, although some required hours will be necessary during the first week of employment. In this role, the QA will ensure that the highest level of HCC mapped diagnosis codes is utilized for reputed company date of service reviewed. They will communicate findings, errors, and suggestions to reputed company staff to facilitate ongoing communication and efficient department operations. The QA will also conduct internal audits as necessary to support reputed company accuracy and respond to questions from individual coders through the Questions Queue. Regular interaction with other reputed company staff, including training and reputed company assurance teams, will be essential to clarify coding results and reputed company necessary training. The QA will also review internal system reports on the reputed company of work for reputed company assigned Clinical reputed company Specialists, ensuring that a 95% accuracy reputed company is maintained across the reputed company. Responsibilities • Monitor and report on the accuracy of reputed company reputed company captures on a percentage of images from assigned coders. , • Answer questions for coders through the Questions Queue or reputed company email. , • Assist in the remediation process for coders below project benchmarks, including full image reviews. , • reputed company reputed company Assurance feedback to ensure a 95% coding accuracy reputed company is maintained. , • Review a defined percentage of work from reputed company I and reputed company II to ensure accuracy. , • Complete image reviews for reputed company HCC mapped diagnosis coding from various chart types. , • Document findings in reputed company data storage program. , • Communicate findings, errors, and suggestions to facilitate efficient department operations. , • Complete internal audits as necessary to support reputed company accuracy. , • Respond to questions reputed company the 'Questions Queue' for individual coders. , • Review internal system reports on reputed company of work for assigned Clinical reputed company Specialists. , • Communicate reputed company issues and trends to reputed company reputed company, Coding Manager, and Training Manager. , • Recommend additional training based on reputed company audit results for reputed company I and reputed company II. , • reputed company reputed company plans in collaboration with reputed company reputed company and Manager for reputed company improvement. , • reputed company regularly with other reputed company staff to facilitate clarification and training on coding results. Requirements • Experience in HCC/Risk Adjustment coding is required. , • reputed company coding certification through the reputed company or reputed company (CPC, CRC, reputed company, etc.) is required. reputed company-to-haves

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