Risk Adjustment Coding Auditor II

Yesterday

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CareSource

Medicaid β€’ MyCare Ohio β€’ Health Insurance Marketplace β€’ Medicare Advantage β€’ Health Insurance

1001 - 5000

Description

β€’ Responsible for over-reads of vendor ICD-10 coding. β€’ Review provider documentation and diagnostic codes. β€’ Maintain knowledge of AHA Coding Clinic and ICD-10 Guidelines. β€’ Perform over reads of provider coding/documentation as asked. β€’ Work independently on multiple projects to meet deadlines.

Requirements

β€’ High School Diploma or GED required. β€’ Minimum three years of diagnostic coding experience with ICD-10. β€’ Minimum three years of auditing medical records experience. β€’ Risk Adjustment methodology experience required. β€’ AAPC or AHIMA coding certification required.

Benefits

β€’ Comprehensive total rewards package. β€’ Inclusive environment supporting individuals of all backgrounds.

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