US Tech Solutions

  • Seattle, WA, United States
US Tech Solutions
US Tech Solutions Newark, NJ, USA
Summary: The Senior Professional Coder provides services to perform code abstraction using the Official Coding Guidelines for ICD-9-CM/ICD-10-CM, AHA Coding Clinic Guidance, and in accordance with all state regulations, federal regulations, internal policies, and internal procedures. HCC Risk Adjustment Coders will be involved with activities of code abstraction for the following programs; including but not limited to, Commercial Risk Adjustment, Medicare Advantage Risk Adjustment, Commercial IVA (Initial Validation Audit), and Medicare RADV (Risk Adjustment Data Validation). HCC Risk Adjustment Coders are required to maintain minimum 95% accuracy on coding quality audits. Responsibilities: •Compile chart review findings statistics, analyze data results and implement meaningful action plans that improve providers' performance levels •Education new staff to produce and maintain high quality data abstraction and chart reviews •Develop quality assurance processes to ensure data...