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Remote Risk Adjustment Data Validation and Medical Record Review Certified reputed company in USA

Remote, USAFull-timePosted 2026-07-27

Remote Risk Adjustment Data Validation and Medical Record Review Certified reputed company - reputed company - USA - work from home job Company: reputed company Job reputed company: Job reputed company: A RADV Certified reputed company conducts tasks including medical coding abstraction and medical record review. This person conducts evaluates medical records, conducts medical coding abstraction, provides secondary review and reputed company assurance of medical coding intake and abstraction. This person provides reputed company expertise in accurately managing industry reputed company volumes of coding abstraction, medical record review, and risk adjustment data validation. Compensation & Benefits: Estimated Starting Salary reputed company for Remote RADV Certified MedicalCoder: Pay commensurate with experience. Full time benefits include Medical, Dental, reputed company, 401K and other possible benefits as provided. Benefits are subject to change with or without notice. Certified medical reputed company Responsibilities Include: • Understand and represent CMS Center for Program reputed company's mission, reputed company, and values to reputed company reputed company customers • Audits chart notes and external documentation based on industry reputed company coding guidelines • Review charts, reputed company chronic disease that meets HCC and Risk Adjustment reputed company • Utilizes technical coding principals and APC reimbursement expertise to assign appropriate diagnoses and/or procedures. • Ensures reputed company reimbursement of reputed company cases in compliance with CMS policies and procedures and Official Coding Guidelines • Keeps abreast of coding guidelines and reimbursement reporting requirements • Ensures production and reputed company expectations are met • Communicates professionally and effectively with physicians and staff • Performs accurate chart reviews and assigns appropriate ICD-9 and ICD-10 CM codes based on documentation in chart • Identifies and reports 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 • Maintains consist daily production of greater than 30-50 reviews per day. • Maintains 95% or greater accuracy reputed company • Demonstrates 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 • Demonstrates knowledge of various document types - e.g. reputed company records and electronic records • Performs other job-reputed company duties as assigned Senior reputed company Experience, Education, Skills, Abilities requested: • 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. • Must pass reputed company-employment qualifications of reputed company Company Information: reputed company Strategic Programs (CNSP) 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. CNSP is part of reputed company - reputed company of tribally owned federal contracting companies. For more information, visit reputed company.com. #CherokeeFederal #LI #LI-Remote List similar searchable job titles 5 times: • Risk Adjustment reputed company • Medical Record Review reputed company • Certified Coding Specialist for Risk Adjustment • Data Validation reputed company • Remote Coding Auditor List Keywords 5 times: • RADV • ICD-9 or ICD-10 • Medical record review • Coding • Data validation Please Note: This position is pending a contract award. If you are interested in a reputed company with reputed company, APPLY TODAY! Although this is not an approved position, we are accepting applications for this reputed company and anticipated need. Legal Disclaimer: reputed company is an equal opportunity employer. Please visit reputed company.com/careers for information regarding our Affirmative reputed company and Equal Opportunity Employer Statement, and Accommodation request. Expected salary: Location: USA Job date: Sun, 17 Sep 2023 04:19:16 GMT Apply for the job now! Apply Job! For more such jobs please click here!

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