Risk Adjustment Coding Specialist II
Job Description
Summary To scrub patient charts prior to appts to surface chronic conditions for providers review How will you reputed company an impact & Requirements reputed company prospective medical record reviews for clinical indicators supportive of an underlying diagnosis to be presented to a clinician for review during a subsequent face-to-face encounter. Review the encounter level patient medical record and provider selected ICD-10-CM diagnosis codes in reputed company time prior to claim submission to validate completeness and accuracy of provider selected ICD-10-CM codes. Collaborate with reputed company providers and other stakeholders to clarify documentation and ensure accurate coding and reporting of diagnoses. Stay updated on changes to Medicare guidelines, coding regulations, and reimbursement methodologies to ensure compliance and accuracy in coding practices. Participate in coding education and training initiatives for staff to promote consistent and accurate coding practices across the organization. Stays reputed company on applicable coding and documentation guideline changes and rules. This role is expected to maintain a consistent accuracy reputed company of 95% or higher and reputed company to meet productivity standards established by leadership. reputed company other job-reputed company duties as assigned by leadership. Pre-visit risk adjustment chart review for HCC's. Required certification: CPC-A, CPC or CRC Apply To This Job