Martin's Point Health Care
Martin's Point Health Care
Martin's Point Health Care एक स्वास्थ्य सेवा संगठन है, जो प्राथमिक और विशेष चिकित्सा सेवाएँ प्रदान करता है तथा अपने क्लिनिकल और कॉर्पोरेट संचालन के माध्यम से समुदायों की सेवा करता है। यहाँ करियर के अवसर स्वास्थ्य सेवा प्रदाताओं और संगठन के व्यापक कार्यों में सहयोग देने वाली टीमों तक फैले हुए हैं, जिनमें कर्मचारी विकास, समावेशी कार्यस्थल और सामुदायिक सहभागिता पर जोर दिया जाता है। संगठन कर्मचारियों को धन-संग्रह और स्वयंसेवी गतिविधियों के माध्यम से स्थानीय पहलों में योगदान देने के लिए भी प्रोत्साहित करता है।

Risk Adjustment Auditor – Remote in Maine

Remote Risk Adjustment Auditor role with Martin's Point Health Care, focused on medical record audits and ICD-10 coding. Support compliant risk adjustment programs serving Maine and broader patient populations.

विवरण

  • Audit medical records and clinical data for risk adjustment vendors and other designated review populations
  • Examine physician notes, laboratory findings, and diagnostic reports to identify diagnoses and capture coding-relevant details
  • Apply accurate ICD-10 codes to represent patient conditions in line with coding standards and regulatory requirements
  • Monitor updates to HIPAA requirements, coding rules, regulations, and compliance expectations
  • Achieve established productivity targets and audit-quality benchmarks
  • Complete RADV and IPM chart review assignments as needed
  • Participate periodically in the Coding Advisory Committee

आवश्यकताएँ

  • Associate degree, or an equivalent combination of relevant education and experience
  • At least five years of clinical coding experience
  • Professional experience with risk adjustment coding
  • Current CPC, COC, or CRC certification
  • Proficiency with ICD-9/10-CM, CPT, and other applicable specialty coding systems
  • Strong command of medical terminology and chronic disease management
  • Demonstrated auditing expertise in Medicare risk adjustment
  • Clear and effective written and verbal communication
  • Strong analytical and problem-solving ability
  • Well-developed organizational skills
  • Ability to work effectively with varied individuals and build productive professional relationships
  • Ability to work independently with limited supervision
  • This position does not provide immigration sponsorship

लाभ

  • Medical coverage
  • Dental coverage
  • Vision coverage
  • Retirement savings plan with employer contributions
  • Paid time off
  • Paid volunteer time
  • Pie Day
  • Additional employee benefits
  • Incentive or commission programs may be offered when applicable

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