Full Time
Independence Blue Cross
Hybrid (Philadelphia, PA, USA)
Bring your drive for excellence, teamwork, and customer commitment to Independence. Join us as we renew and reimagine the future of health care. Together we will achieve our mission to enhance the health and well-being of the people and communities we serve
The Clinical Analyst/Senior Clinical Analyst reports to the Risk Adjustment Programs Manager in Government Markets. The key responsibilities of this role include:
Responsible for analyzing member clinical charts, diagnosis data, CPT Codes, and any other diagnostic data for Independence’s Medicare Advantage and Commercial HIX plans to assess chart coding accuracy and determine opportunities for improvement.
The Clinical Analyst will perform and participate in prospective chart coding reviews and recommend solutions to improve the quality and accuracy of clinical data for the Government Markets Unit.
Responsible to identify and communicate trends in provider coding and documentation.
Work closely...