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Coding Quality Auditor – Revenue Capture
Location
Washington
Posted
33 days ago
Salary
$37 - $57 / hour
Seniority
Mid Level
Job Description
Coding Quality Auditor – Revenue Capture
Providence
• Conduct detailed diagnostic chart reviews of clinical documentation and coding associated with Risk Adjustment and HCC coding. • Review and abstract HCC codes to ensure they are coded accurately, to the highest specificity. • Query providers to clinically validate or clarify diagnosis criteria. • Review for compliant documentation resulting in compliant reporting/billing and RVU capture.
Job Requirements
- Within 1 year of hire: Certified Professional Coder (CPC) Or Certified Coding Specialist (CCS)
- 2 years of experience in medical insurance reimbursement, medical billing, and coding related to charge review and work RVU’s.
- Experienced in reviewing patient account information, insurance explanation of benefits, computer screens, and financial records.
- Preferred: Bachelor's Degree Or equivalent educ/experience
- Within 1 year of hire: Certified Risk Adjustment Coder (CRC)
- Within 1 year of hire: Certified Professional Medical Auditor (CPMA) Or Certified Healthcare Compliance Auditor (CHCA)
- Experience in HCC coding.
Benefits
- Comprehensive benefits package including health care benefits (medical, dental, vision)
- 401(k) Savings Plan with employer matching
- Life insurance
- Disability insurance
- Time off benefits (paid parental leave, vacations, holidays, health issues)
- Voluntary benefits
- Well-being resources
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