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in Dayton, OH
Risk Adjustment Coding Auditor II
Estimated Pay | $18 per hour |
---|---|
Hours | Full-time, Part-time |
Location | Dayton, Ohio |
Compare Pay
Estimated Pay$13.1
$17.91
$25.56
About this job
Job Summary:
The Risk Adjustment Coding Auditor II is responsible for performing over-reads of vendor ICD-10 coding, reviewing provider documentation supplied to them, and diagnostic codes assigned by vendor. This job is full-time, remote.
Essential Functions:
- Meets assigned volume metrics
- Validates the accurateness of ICD-10 codes assigned by the vendor
- Tracks the trends and reports on the findings
- Demonstrates a thorough understanding of Risk Adjustment hierarchical condition categories (HCCs), for all risk adjusted products
- Participates in quality coding initiatives as appropriate or assigned
- Maintains knowledge of AHA Coding Clinic and ICD-10 Official Guidelines for Coding and Reporting
- May be asked to perform over reads of provider coding/documentation
- Meets deadlines and works independently on multiple projects
- Perform any other job duties as requested
Education and Experience:
- High School Diploma or GED is required
- Minimum of three (3) years of diagnostic coding experience and a firm understanding of ICD-10 is required
- A minimum of three (3) years of experience in auditing medical records is required
- Risk Adjustment methodology experience required
Competencies, Knowledge and Skills:
- Intermediate level with Microsoft Word, Microsoft Outlook, Microsoft Excel
- Ability to work in a fast paced production environment while maintaining high quality
- Knowledgeable and experienced with researching CMS and other sites for Risk Adjustment guidance
- Exceptional knowledge of medical coding and regulatory requirements
- Knowledgeable of Medicaid, Medicare, Exchange
- Knowledgeable of ICD-10
- Ability to make independent decisions on ICD 10 code assignments
- Excellent verbal and written communication skills
- Ability to effectively interface with teammates, vendors and management
- Ability to work with others and work independently
- Possesses critical thinking/listening skills
- Strong interpersonal skills and high level or professionalism
- Detail oriented
- Facets training/knowledge is preferred
Licensure and Certification:
- AAPC or AHIMA coding certification is required
Working Conditions:
- General office environment; may be required to sit or stand for extended periods of time
Compensation Range:
$52,400.00 - $83,900.00 CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. We are highly invested in every employee's total well-being and offer a substantial and comprehensive total rewards package.
Compensation Type:
Hourly
Competencies: