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Martin's Point Health Care
Martin's Point Health Care
501 – 1.000 Angajați
AsigurăriConsultanțăLogistică
Martin's Point Health Care este o organizație de servicii medicale care oferă îngrijire primară și de specialitate și sprijină comunitățile prin activitățile sale clinice și corporative. Oportunitățile de carieră includ furnizori de servicii medicale și echipe care susțin activitatea mai amplă a organizației, cu accent pe dezvoltarea angajaților, incluziunea la locul de muncă și implicarea în comunitate. Organizația îi încurajează, de asemenea, pe angajați să contribuie la cauze locale prin activități de strângere de fonduri și voluntariat.
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Locurile de muncă ale companiei

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.

USStatele Unite ale AmericiiMEMaine
75.584 $ – 93.369 $ / an
RemoteNormă întreagăNivel mediuSeniorLimbă Obligatorie: englezăAuditor

Descriere

  • 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

Cerințe

  • 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

Beneficii

  • 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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