Upvote
Downvote
Sr Risk Adjustment Coding Specialist
Share Job
- Suggest Revision
$65,490 - $100,200 a year
Full-time
- Essential Functions Support updating and maintaining CHPW coding guidelines to reflect changes of the ICD-10 CM Official Guidelines for Coding and Reporting, new AHA Coding Clinic Advices and new guidance from Center for Medicare & Medicaid Services (CMS).
- Keep current on regulatory and coding issues/best practices including AHA Coding Clinics and ICD-10 Official Guidelines for Coding and Reporting.
- Serve as coding operational lead and coding SME. Coordinate with the Risk Adjustment Supervisor to prioritize tasks of other full time and/or temporary coding staff.
- Lead the risk adjustment coding and documentation quality assurance process, and oversee the workflow of the retrospective coding review Identify and implement practices and QA process improvement opportunities.
- Support chart audit processes, including audit provider and vendor documentation of ICD-9 and ICD-10 codes to ensure adherence with Center for Medicare Services (CMS) risk adjustment guidelines, and act as a liaison between internal departments and external entities on regulatory data validation audits (including CMS RADV and HHS RADV).
Active Job
Updated TodaySimilar Job
Relevance
Active