Coding Data Quality Auditor Analyst
Tasks
- Assess medical necessity
- Assign accurate medical codes
- Audit for fraud abuse and penalties compliance
- Conduct inter rater review audits
- Ensure compliance with CMS regulations
- Mentor and instruct coding staff
- Perform medical coding quality audits
- Provide coding evidence to stakeholders
- Review clinical documentation for code accuracy
- Verify ICD 10 code compliance for CMS submissions
Perks/Benefits
- Dental insurance
- Medical insurance
- Paid time off
- Retirement savings options
- Vision insurance
- Wellness programs
Skills/Tech-stack
CMS risk adjustment | Compliance Auditing | Fraud and Abuse Compliance | HCC | Hierarchical Condition Categories | ICD-10 | Medicaid | Medical Necessity | Medical coding | Medical documentation | Medicare | Risk Adjustment Coding | Risk adjustment
Education
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