Cross Country Workforce Solutions Group

  • Culver City, CA, United States
Cross Country Workforce Solutions Group Oakland, CA, USA
Job Description The Position : Responsible for the accurate coding, coding review, and submission of eligible participant diagnoses to CMS. DUTIES AND RESPONSIBILITIES: * Oversee all aspects of HCC and frailty coding operations for Center for Elders' Independence. * Interprets, analyzes, and assigns diagnostic codes to ensure compliance with governmental reimbursement policies, regulations and applicable guidelines. * Reviews provider coded encounters for accuracy of diagnoses. * Abstracts all CMS participant eligible diagnoses into a CMS submittal format. * Reviews and analyzes medical documentation to ensure that the final diagnosis listed accurately reflects the care and treatment submitted for reimbursement. * Collaborates and coordinates with external auditors; provides feedback on audit reports as appropriate. * Identifies inconsistencies, discrepancies and/or trends within the medical record and discusses with the appropriate medical providers. Recommends appropriate...