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Martin's Point Health Care
Martin's Point Health Care
501 – 1,000 Employees
ConsultingInsuranceLogistics
Martin's Point Health Care is a healthcare organization providing primary and specialty care while serving communities through its clinical and corporate operations. Its career opportunities span healthcare providers and teams supporting the organization’s broader work, with an emphasis on employee development, workplace inclusion, and community engagement. The organization also encourages employees to contribute to local causes through fundraising and volunteer activities.
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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.

USUnited StatesMEMaine
$75,584 – $93,369 / year
RemoteFull-timeMiddleSeniorEnglish RequiredAuditor

Description

  • 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

Requirements

  • 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

Benefits

  • 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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