2 risk adjustment coding auditor jobs found

Description Position Summary: The Certified Coder is a key position in two ways: First, the employee will be responsible for abstracting medical record data and assigning/reviewing codes using current clinical classification systems appropriate for the type of care provided. Second, the employee will be able to review Medicare Risk Adjustment, understanding Medicare Advantage Plans and evaluating medical records with attention to detail. Requirements Essential Functions 1. Reviewing and assigning codes to diagnosis and procedures in order to ensure proper financial reimbursement from insurance companies. Applies comprehensive knowledge of medical terminology, anatomy & physiology, disease processes, treatment modalities, diagnostic tests. Assists facility staff with documentation requirements to completely and accurately reflect the patient care provided. Conducts claims audits/reviews, identifying opportunities for improving. 2. The Certified Coder is responsible for...

Description Position Summary: The Certified Coder is a key position in two ways: First, the employee will be responsible for abstracting medical record data and assigning/reviewing codes using current clinical classification systems appropriate for the type of care provided. Second, the employee will be able to review Medicare Risk Adjustment, understanding Medicare Advantage Plans and evaluating medical records with attention to detail. Requirements Essential Functions 1. Reviewing and assigning codes to diagnosis and procedures in order to ensure proper financial reimbursement from insurance companies. Applies comprehensive knowledge of medical terminology, anatomy & physiology, disease processes, treatment modalities, diagnostic tests. Assists facility staff with documentation requirements to completely and accurately reflect the patient care provided. Conducts claims audits/reviews, identifying opportunities for improving. 2. The Certified Coder is responsible for...