5 senior risk adjustment coder jobs found in Newark, CA

Millennium Physician Group is seeking a skilled Medical Coder to abstract and assign ICD-10-CM diagnosis codes from encounter documentation and perform retrospective audits of medical records to validate coding accuracy and claim quality. You will review VBAT-driven provider actions to identify outliers, analyze Medicare Risk Adjustment data, and communicate risks and opportunities to leadership. This role requires independent work, strong organizational skills, and proficiency with MS Office. #J-18808-Ljbffr

Senior Risk Adjustment CoderThe Senior Risk Adjustment Coder will perform code audits and abstraction in accordance with all state regulations, federal regulations, internal policies, and internal procedures. The HCC Coding Auditor Senior will be involved with activities of quality assurance auditing and risk adjustment code abstraction for the following programs: including but not limited to Medicare Advantage Risk Adjustment.What you will do:Risk Adjustment ReviewMay perform prospective and concurrent Clinical Documentation Improvement (CDI) workflows as well as retrospective auditingReviewing medical records to ensure accurate HCC coding and identify opportunities for recapture and suspect diagnoses.Evaluating medical records to verify that M.E.A.T criteria support the submitted diagnosis codes.Inquire with clinicians the recommended HCC diagnosis for chart addendum.Collaborating with other departments to address coding updates and support risk adjustment programs.Compliance...

Job Description Job Description Coder Router is responsible for effective and efficient completion of departmental tasks and ensuring those tasks are performed on time with high quality and attention to detail. Role may be updated in the future; task items may be removed or added verbally or in writing as the needs of the company evolve. CODER/ROUTER: Direct Costs: Receive invoices from Stampli and code to correct project and activity code in NetSuite. Research the PO number in ComputerEase and add the corresponding PO number, job, phase, and category into Stampli. Indirect & SG&A Costs: Receive invoices from Stampli and code to correct general ledger accounts in NetSuite. Route Invoices: Route invoices for approval to appropriate parties. ACCOUNTS PAYABLE (BACKUP): AP Import: Import accounts payable invoices and Ramp reimbursements from NetSuite into ComputerEase. Vendor Account Reconciliations: Reconcile vendor statements against accounts. Mailed Invoices: Scan...

Job Description Coder Router is responsible for effective and efficient completion of departmental tasks and ensuring those tasks are performed on time with high quality and attention to detail. Role may be updated in the future; task items may be removed or added verbally or in writing as the needs of the company evolve. CODER/ROUTER Direct Costs: Receive invoices from Stampli and code to correct project and activity code in NetSuite. Research the PO number in ComputerEase and add the corresponding PO number, job, phase, and category into Stampli. Indirect & SG&A Costs: Receive invoices from Stampli and code to correct general ledger accounts in NetSuite. Route Invoices: Route invoices for approval to appropriate parties. ACCOUNTS PAYABLE (BACKUP) AP Import: Import accounts payable invoices and Ramp reimbursements from NetSuite into ComputerEase. Vendor Account Reconciliations: Reconcile vendor statements against accounts. Mailed Invoices: Scan and email mailed...

Job Description Job Description Coder Router is responsible for effective and efficient completion of departmental tasks and ensuring those tasks are performed on time with high quality and attention to detail. Role may be updated in the future; task items may be removed or added verbally or in writing as the needs of the company evolve. CODER/ROUTER: • Direct Costs: Receive invoices from Stampli and code to correct project and activity code in NetSuite. Research the PO number in ComputerEase and add the corresponding PO number, job, phase, and category into Stampli. • Indirect & SG&A Costs: Receive invoices from Stampli and code to correct general ledger accounts in NetSuite. • Route Invoices: Route invoices for approval to appropriate parties. ACCOUNTS PAYABLE (BACKUP): • AP Import: Import accounts payable invoices and Ramp reimbursements from NetSuite into ComputerEase. • Vendor Account Reconciliations: Reconcile vendor statements against accounts. • Mailed...