VNS Health in New York is seeking a claims review professional to audit billing, coding, and service documentation for compliance and reimbursement. The role focuses on applying ICD-10-CM, HCPCS, and CPT-4 coding, and providing actionable recommendations to improve accuracy.
You will train staff, support quality metrics, and ensure adherence to CMS guidelines and risk adjustment methodologies while collaborating with clinical and revenue teams.
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