Job Title – Risk Adjustment Coder
Duration – 3 months
Location – Ohio, (Remote)
Pay: $28.00/hr on W2.
If you are interested, please forward your current resume to tezava@w3r.com and you can also reach me at 925-326-2471 to discuss your career aspirations.
Job Details:
Risk Adjustment Coder
Reviewing patients' medical records to identify diagnoses and procedures performed. Assigning accurate medical codes for diagnoses, treatments, and procedures according to the appropriate classification system. In addition to abstracting diagnosis codes, the Clinical Review Specialist also audits medical records and validates entries that have been submitted to CMS.
RESPONSIBILITIES:
•Conducts audits of medical records (paper, EMR, hybrid)
•Adheres to compliance of Medicare, Medicaid, and Commercial risk adjustment guidelines with precision.
•Understands, respects, and applies client specific guidelines
•Adheres to audit and medical record review schedules to meet client expectations and government-regulated deadlines
•Regularly participates in peer review; provide and receive feedback
•Ensures accurate documentation to support all audits
•Assures adherence to and currency with internal and external regulatory guidelines:
•CMS/HHS
•DOH
•HIPAA, HITECH, and Fraud Waste & Abuse
•Medical coding protocols
•Maintain coding credentials as required by credentialing agency
REQUIREMENTS:
•Coding Certification: CPC, CCS, CRC, RHIT, or RHIA
•Possess at least 5 years of experience of with ICD-10, CPT and HCPC coding systems
•Proficiency in MS Office tools such as Word, PPT, Excel and be comfortable learning and becoming an expert on new and proprietary software
Looking forward to hearing from you soon.
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