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Quality, Education & Coding Specialist
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- Quality, Education & Coding Specialist works collaboratively with clinic and providers for enhancements, training and education for risk adjustment documentation and performs medical record reviews in accordance with HEDIS technical specifications.
- Have current Coding Certification (CPC, CPC-P, CPC-H, CPC-I, CRC, CCS, RHIT, RHIA etc.)
- Have current, unrestricted license as a Registered Nurse (RN) or Licensed Practical Nurse (LPN) required.
- Possess a minimum of three years coding experience with specific knowledge of Medicare and Commercial Risk Adjustment such as Hierarchical Condition category (HCC) and/or Chronic Illness and Disability Payment System (CDPS).
- And a minimum of three years working with HEDIS data including chart review/collection.
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