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HCC Coding Analyst
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$54,199 - $81,100 a year
Full-time
- Audit all RAPS submissions to ensure accuracy in the data provided to CMS. Provide coding expertise as well as administrative oversight to ensure successful integration of AHC's HCC initiatives.
- Work with Risk Adjustment Management on any Data Validation and /or RADV coding audit to ensure completeness and coding accuracy of all submissions to CMS.
- Work with Risk Adjustment and STARs Management on the monitoring of HCC Corrective Action Plans as needed.
- Assist with CMS Data Validation activities, including suggested record selections, tracking and submission, in conjunction with Risk Adjustment Healthcare Management
- Update all education materials based on CMS-HCC Model and ICD-10 annual changes
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