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Preserving, Creating & Facilitating
HCC Coding Auditor
Location
United States
Posted
109 days ago
Salary
0
Seniority
Mid Level
Job Description
HCC Coding Auditor
Affordable Housing Trust for Columbus and Franklin County
• Utilize risk adjustment coding/HCC and HEDIS expertise to perform quality reviews on internal/subcontracted HCC coders/OP CDI. • Use audit tool to analyze quality results and track overall quality. • Provide necessary feedback and research to HCC Coder/ OP CDI in response to coding and documentation questions. • Ability to assess queries for compliance and appropriate composition based on the AHIMA Query Practice Brief. • Prepare and deliver training on HCC documentation requirements, customized to the client audience (e.g., providers, HCC coders). • Assess HCC coders/OP CDI chart reviews for missed documentation or query opportunities impacting RAF scores/HEDIS measures. • Review charts to assure clinical documentation supports MEAT requirements and identify trends in documentation gaps. • Provide education to HCC Coders/OP CDI as needed based on audit findings. • Identify trends and perform training to improve HCC capture, HEDIS measure review, and quality. • Work with Manager to identify performance needs of Coders/OP CDI and create training to increase performance levels.
Job Requirements
- RN required
- Coding credential of CCS or CRC preferred
- 2-5 years of experience in auditing HCCs (prospective & retrospective) or outpatient CDI
- Experience with Microsoft Office including 365, Word, Excel, PowerPoint
- Experience working with offshore teams, preferred
- 3 years of experience in auditing an ambulatory clinic setting, with knowledge of ICD-10-CM, HCC and CPT/HCPCS coding requirements, as well as OP CDI and HEDIS measures
Benefits
- UASI provides a supportive environment that encourages professional development and enables each employee to achieve their individual goals.
- We offer a competitive pay and excellent benefit package.
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