$50,700 - $84,900 yearly
Emergent Holdings
Remote
SUMMARY :
The Certified MRA Coder II will perform Prospective Review and CDI Opportunity Review to assists healthcare providers in identifying and resolving issues related to incomplete or missing clinical documentation. HCC coder will conduct audits to abstract data not submitted by providers and initiate opportunities to improve clinical documentation. Increase accuracy, completeness and compliance with clinical condition documentation to enable providers to deliver quality of care.
RESPONSIBILITIES/TASKS:
Ensures compliance with all applicable Federal, laws and regulations related to coding and documentation guidelines for Commercial and Medicare Risk Adjustment Payment System.
Performs on-site medical record review to capture of all relevant diagnosis codes included in the CMS and HHS Hierarchical Condition Categories (HCC) conditions for Commercial and Medicare Risk Adjustment Payment system.
Ensure diagnosis codes are supported by the documentation and...
