Responsibilities:
Job Summary: The Coding Auditor is responsible for the overread of documentation and coding of medical records at various partnered medical practices. Will ensure accurate reporting of diagnoses and service codes to support optimal performance in risk adjustment and quality measurement. Performs an overread on all coding projects to ensure a 95% and above accuracy requirement is maintained. Serves as a guide, educator and trainer for the coding staff.
Qualifications:
Qualification and Requirements:
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High School Diploma, GED or equivalent required, Associates preferred
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Minimum of five (5) years’ experience in related field in medical records, claims or billing area is an asset or equivalent combination of education and experience or education.
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Minimum three (3) years in CMS HCC risk adjustment coding.
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Coding certification required through AAPC or AHIMA; CDEO or CPMA strongly preferred
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Experience in HHS or Medicare RADV required
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Strong knowledge of HCC Coding, HEDIS, and Risk Adjustment
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Strong understanding and knowledge of CMS Coding and Documentation Guidelines as well as HCC coding practices, must an ability to stay current on these guidelines is required.
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Ability to effectively communicate in English, both verbally and in writing.
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Excellent interpersonal skills, with the ability to interact with all external and internal customers
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Microsoft Office (Outlook, Word, Excel, PowerPoint), administrative writing and reporting skills
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Strong analytical and critical thinking skills
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Ability to identify, analyze, research, develop and implement creative solutions
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Highly organized, work prioritization, follow up and attention to detail
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Ability to maintain a high level of integrity and confidentiality of medical information
EEO Statement
All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.
We believe that diversity and inclusion among our teammates is critical to our success.
Notice
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Salary: Starting from $26.65 to $39.97 an hour