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Medicare Quality Coding Review And Audit Manager - Hybrid - Cigna Healthcare, PA, TN, TX, Or MO
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Full-time
- The Medicare Coding Quality Review Audit Manager is responsible for day-to-day oversight of the Risk Adjustment coding quality assurance operations for the Cigna Medicare segment.
- Leads team of certified coders and administrative support personnel to ensure that coding compliance related risk adjustment coding initiatives are completed in compliant fashion and within mandated timelines.
- Analyzes and measures the effectiveness of existing risk adjustment coding initiatives and collaborates with matrix partners to lead and develop a sustainable, repeatable and quantifiable process for growth.
- Works closely with Quality Review Audit Advisor to ensure Risk Adjustment coding activities performed by their team adhere to Cigna’s Coding Best Practices and CMS regulations
- Provides ongoing and timely updates on risk adjustment coding activities to MDQO leadership, tailoring messages, as needed, for targeted stakeholder audience.
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