Description:
Coding Quality Auditor - Open to our Overland Park, KS offices!
We have an immediate need to a Medicare Risk Coding Quality Auditor.
GENERAL SUMMARY
Responsible for performing audits of medical records to ensure the ICD-9 codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) for the Risk Adjustment Payment System (RAPS) are appropriate, accurate, and supported by written clinical documentation in accordance with all State and Federal regulations and internal policies and procedures.
ESSENTIAL RESPONSIBILITIES
- Performs audits of medical records to ensure all assigned ICD-9 codes are accurate and supported by written clinical documentation.
- Provides education to internal staff and external providers based on audit findings. Provides general education on ICD-9 codes as appropriate.
- Effectively communicates the audit process and results to the appropriate departments and management.
- Assists senior level staff in providing recommendations for process improvement so that productivity and quality goals can be met or exceeded and operational efficiency and financial accuracy can be achieved.
- Remains current on ICD-9 codes, CMS documentation requirements, and State and Federal regulations.
- Performs other duties as required.
Qualifications:
JOB SPECIFICATIONS
- High school degree or equivalent.
- Previous (2-4 years) experience in medical record documentation review, diagnosis coding, and/or auditing required.
- CPC (Certified Professional Coder) or CCS-P (Certified Coding Specialist-Physician) required.
- Knowledge of ICD-9/CPT codes highly desired
- Medicare and/or Medicaid Risk Adjustment process experience highly desired
- Excellent organizational, interpersonal, and communication skills.
- Strong analytical and problem solving skills.
- Ability to use standard corporate software packages and corporate applications.Coventry Health Care is an Affirmative Action/Equal Opportunity Employer, and we are committed to building a talented and diverse team.
Job: Administrative Support Workers
Primary Location: Overland Prk, KS, US
Other Locations: ,
Organization: 37200 - Coventry Product Services, Inc
Schedule: Full-time
Job Posting: 2013-11-21 00:00:00.0
Job ID: 1313567
Coding Quality Auditor - Open to our Overland Park, KS offices!
We have an immediate need to a Medicare Risk Coding Quality Auditor.
GENERAL SUMMARY
Responsible for performing audits of medical records to ensure the ICD-9 codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) for the Risk Adjustment Payment System (RAPS) are appropriate, accurate, and supported by written clinical documentation in accordance with all State and Federal regulations and internal policies and procedures.
ESSENTIAL RESPONSIBILITIES
- Performs audits of medical records to ensure all assigned ICD-9 codes are accurate and supported by written clinical documentation.
- Provides education to internal staff and external providers based on audit findings. Provides general education on ICD-9 codes as appropriate.
- Effectively communicates the audit process and results to the appropriate departments and management.
- Assists senior level staff in providing recommendations for process improvement so that productivity and quality goals can be met or exceeded and operational efficiency and financial accuracy can be achieved.
- Remains current on ICD-9 codes, CMS documentation requirements, and State and Federal regulations.
- Performs other duties as required.
Qualifications:
JOB SPECIFICATIONS
- High school degree or equivalent.
- Previous (2-4 years) experience in medical record documentation review, diagnosis coding, and/or auditing required.
- CPC (Certified Professional Coder) or CCS-P (Certified Coding Specialist-Physician) required.
- Knowledge of ICD-9/CPT codes highly desired
- Medicare and/or Medicaid Risk Adjustment process experience highly desired
- Excellent organizational, interpersonal, and communication skills.
- Strong analytical and problem solving skills.
- Ability to use standard corporate software packages and corporate applications.Coventry Health Care is an Affirmative Action/Equal Opportunity Employer, and we are committed to building a talented and diverse team.
Job: Administrative Support Workers
Primary Location: Overland Prk, KS, US
Other Locations: ,
Organization: 37200 - Coventry Product Services, Inc
Schedule: Full-time
Job Posting: 2013-11-21 00:00:00.0
Job ID: 1313567