Quality Review and Audit Lead Analyst

3 days ago

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The Cigna Group

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10,000+

Description

• Develop and manage a detailed risk adjustment coding education & training program. • Serve as a key subject matter expert in risk adjustment regulations and coding policy. • Collaborate to support risk adjustment compliance including policy updates. • Research and stay current on coding guidelines and best practices. • Develop, implement, and maintain risk adjustment trainings and informative materials.

Requirements

• Bachelor’s degree in health care, nursing, business management or related field • HHS / ACA Risk Adjustment knowledge preferred • Experience in claims processing and revenue cycle management is preferred • Minimum 5 years’ experience in coding, risk adjustment revenue/policy adherence and/or physician practice management • Coding certification by either AHIMA or AAPC required in CPC, CCS-P, CPCO, RHIT, RHIA, or CRC. • Strong presentation capabilities for internal/external partners and associates. • Strong verbal and written communication skills with peers, partners, and providers.

Benefits

• Comprehensive health-related benefits including medical, vision, dental, well-being and behavioral health programs. • 401(k) with company match. • Company paid life insurance. • Tuition reimbursement. • Minimum of 18 days of paid time off per year. • Paid holidays.