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Jobs or company...

Risk Adjustment Auditor II

  • Full Time, onsite
  • LHH Recruitment Solutions
  • Remote On Site, United States of America
Salary undisclosed

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Job Description

Job Description

We need a Risk Adjuster! The Risk Adjustment Auditor II performs chart review to ensure accurate risk adjustment reporting. You will identify trends in provider coding/documentation and works closely with Provider Education Consultants to develop intervention strategies.

Location: 100% Remote, MUST be in the United States, include your location on your resume

Minimum Requirements:

Demonstrated ability to perform accurate and complete chart reviews for risk adjustment.
Knowledge of and adherence to Official ICD-9-CM/ICD-10 Coding Guidelines.
Demonstrates analytical ability to identify problems, develop solutions, and implement actions in a timely manner.
Find trends in provider coding and documentation.
Knowledge of health systems operations, including an understanding of reimbursement methodologies and coding.

** CANNOT be currently working for another payer.


Qualifications:

Risk Adjustment Auditor II would have an Associate degree in Healthcare or related field and three years of experience in clinical coding or auditing or equivalent combination of education and experience.

Must Have: Certified Risk Adjustment Coder
Must Have: Certified Professional Coder

Job Duties:
Performs Retrospective and Prospective chart reviews to ensure accurate risk adjustment reporting.
Verifies and ensures diagnosis codes based on medical record documentation.
Reviews medical record information.
Identifies trends in provider coding and documentation.
Supports and actively participates in process and quality improvement initiatives.
Consistently meets departmental performance and attendance requirements.
Serves as a mentor to Risk Adjustment Auditor I staff.
Assists with special projects such as risk mitigation reviews.
Serves as subject matter resource regarding the risk adjustment process and diagnosis coding for risk adjustment.



Pay Details: $25.00 to $30.00 per hour

Search managed by: Jessica Roberts

Benefit offerings available for our associates include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and a 401K plan. Our benefit offerings provide employees the flexibility to choose the type of coverage that meets their individual needs. In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other paid leave required by Federal, State, or local law, as well as Holiday pay where applicable.

Equal Opportunity Employer/Veterans/Disabled

To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to https://www.lhh.com/us/en/candidate-privacy

The Company will consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws and/or security clearance requirements, including, as applicable:
  • The California Fair Chance Act
  • Los Angeles City Fair Chance Ordinance
  • Los Angeles County Fair Chance Ordinance for Employers
  • San Francisco Fair Chance Ordinance

Employers have access to artificial intelligence language tools (“AI”) that help generate and enhance job descriptions and AI may have been used to create this description. The position description has been reviewed for accuracy and Dice believes it to correctly reflect the job opportunity.
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