Posted:1 week ago|
Platform:
Work from Office
Full Time
Working knowledge of medical jargon and anatomy.
Review patient medical records for risk adjustment and ensure documentation integrity.
Ensure compliance with CMS, Medicare Advantage, and commercial risk adjustment regulations.
Stay updated with the latest risk adjustment coding guidelines and best practices. Experience in risk adjustment coding for Medicare Advantage, ACA, or Medicaid plans. Familiarity with RADV audits and risk adjustment methodologies. Proficient in reviewing medical records and determining the accuracy and completeness of the document. Effectively able to work with sensitive data and promptly relay potential issues and concerns to supervisors. A critical thinker who ensures that all coding activities are properly managed as per scope Solves moderately complex problems on their own. Proficient computer skills. Expertise in Excel, Pivoting and creating reports. Must have worked in multiple EHRs, eCW and Experity work experience is preferred. Attention to detail. Excellent communication skills, both verbal and written.
SRM Technologies
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