New Age Software Services, Inc
Retrospective Risk Adjustment Chart Reviewer DURATION: 6 Month+ with strong potential to convert to hire LOCATION: Remote. Qualified candidates must be located within 2 hours of Boston MA. US citizens and Green Card Holders and those authorized to work in the US are encouraged to apply. We are unable to sponsor (or transfer) H1B candidates at this time. If you need sponsorship now or in the future (OPT, STEM,) our client is not able to provide sponsorship. SUMMARY: A growing risk adjustment company looking for motivated candidates with a clinical and coding background to join our team of senior coders/nurses. As a Retrospective Risk Adjustment Reviewer, you would be responsible for reviewing medical records, evaluating and assessing provider documentation, and submitting supported ICD-10 diagnosis codes according to specified guidelines. Chart review performed remotely via Electronic Health Record (EHR).
REQUIRED KNOWLEDGE AND SKILLS: In-depth knowledge of medical terminology, ICD-10 coding, and Risk adjustment. Medical chart review experience. Preferably Epic. Basic concepts of human anatomy, physiology, and pathology. Ability to work with accuracy and attention to detail. Excellent understanding of clinical documentation requirements and coding guidelines. PREFERRED QUALIFICATIONS: At least three of the following criteria: Minimum 5 years of experience in risk adjustment or medical chart review Clinical Background, i.e.. RN, NP, PA, MD. ā¢Certified Professional Coder (CPC). Certified Risk Coder (CRC). ICD-10 coding background. EDUCATION: Associate degree (or equivalent combination of formal education and experience) required. Bachelorās Degree preferred.
ICD-10 Coding of Outpatient and Inpatient diagnoses. Evaluating and assessing provider documentation. Applying client-specific guidelines in the coding of diagnoses.
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