Franciscan Health

Hospitals and healthcare services in Indianapolis, Lafayette, northwest and western Indiana and south-suburban Chicago.

Risk Adjustment Auditor

AuditorAuditorFull TimeRemoteTeam 10,001+Since 1875H1B SponsorCompany SiteLinkedIn

Location

United States

Posted

12 days ago

Salary

$19 - $28 / hour

Associate Degree3 yrs expEnglish

Job Description

• Review medical records, patient medical history and physical exams, physician orders, progress notes, consultation reports, diagnostic reports, operative and pathology reports, and discharge summaries. • Assist with validation audits to evaluate medical record documentation, to ensure coding accurately reflects and supports relevant coding based on the ICD-10 code. • Submit documentation to CMS for reimbursement and interpretation of medical documentation, to ensure capture of all relevant coding based on CMS Hierarchical Condition Categories (HCC) conditions that are applicable to Medicare Risk Adjustment reimbursement initiatives. • Attention to detail while reviewing patient’s clinical record. • Ensure regulatory compliance, and overall quality and efficiency by utilizing strong working knowledge of coding standards and EPIC.

Job Requirements

  • Associate's Degree, LPN/RN - Associates Degree - Required or Certificate, Medical Assisting - Required
  • 3 years experience in the Medical Field - Required
  • 1 year Coding experience - Preferred
  • Certified Medical Assistant (CMA) - American Association of Medical Assistants (AAMA) - Required or Licensed Practical Nurse (LPN) - State Licensing Board - Required or Registered Nurse (RN) - State Licensing Board - Required

Benefits

  • Comprehensive benefit offerings

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