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3 дня назад

HCC Risk Adjustment Coding Auditor (Healthcare)

Формат работы
remote (только USA)
Тип работы
fulltime
Грейд
middle
Английский
b2
Страна
US
Вакансия из списка Hirify.GlobalВакансия из Hirify Global, списка международных tech-компаний
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Описание вакансии

Текст:
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TL;DR
HCC Risk Adjustment Coding Auditor (Healthcare): Auditing coded medical charts to verify accurate diagnosis representation for risk adjustment and reimbursement with an accent on ICD-10 compliance, clinical documentation, and client-specific coding guidelines. Focus on maintaining a 95% diagnosis-level quality average, resolving coding rebuttals, and independently reviewing records in a fast-paced production environment.

Location: Remote within the United States; applications are accepted from candidates in the U.S. This job is not eligible for employment sponsorship.

Company

hirify.global is a healthcare data collaboration platform providing secure, accessible, and actionable data solutions for providers, health plans, researchers, and life sciences organizations.

What you will do

  • Audit coded medical charts according to client-specific guidelines.
  • Switch between different client guideline sets with minimal difficulty.
  • Maintain a 95% average quality score at the diagnosis level.
  • Respond to rebuttals submitted by coders and auditors.
  • Participate in weekly coding project review meetings and complete additional tasks assigned by the quality supervisor.

Requirements

  • At least 2 years of HCC coding experience and 2 years of HCC auditing experience.
  • Extensive knowledge of ICD-10, medical terminology, medical abbreviations, pharmacology, and disease processes.
  • High school diploma or GED equivalent.
  • AHIMA certification such as RHIA, RHIT, or CCS, or AAPC certification such as CPC, CPC-H, COC, CIC, or CRC.
  • Ability to work independently in a fast-paced production environment, meet deadlines, follow instructions, and maintain high quality.
  • Ability to work remotely from the United States without employment sponsorship. Strong written and verbal communication, time management, and computer software and hardware skills are required.

Culture & Benefits

  • Health, dental, and vision insurance.
  • Paid time off plan and retirement savings plan.
  • Flexible work arrangements.
  • Career growth and professional development opportunities.
  • Employee wellness programs.

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