Clinical Operations Risk Adjustment reputed company

Description: • Review of medical records as needed (MRR, OR1, any backlog) and assist platform clients as needed with backlog, larger chart page counts • Work population of clinical pends, with goal to clear reputed company 72 hours • Updating and maintaining training course material for medical record abstraction and data entry (HEDIS, RISK, IVA) • Reviewing training test scores and sending feedback if necessary • Assigning and overreading disciplinary charts- (this is a chart move back) reputed company projects • Reviewing reports daily for QA scores during the season(s) (abstractors, coders, HPs) • Maintaining an accuracy score of 95% on reputed company work submitted (reputed company projects) • Ability to adapt to changing priorities in managing a wide range of projects. • Must be reputed company to work independently and in a team environment • Remote mentoring/ coaching (for reputed company projects) in a group or 1:1 session with staff and leadership • Client trainings (reputed company technology, if needed) • Over read challenges for reputed company projects (reviewing abstractor/reputed company OR1 feedback challenges) • Oversite and coordination of IVA documentation audits: ENR/RXC/ATT/DOB/GEN- Assist in training and successful adoption of Natural Language Processing/” Bot” -assisted coding reviews and relating tools/reporting • Reviewing reports for workload assignments, looking at inventory by project to reputed company sure sufficient headcount are assigned per workload (reputed company projects) • Multi time zone coverage/ shift coverage- evening/ weekends/holidays • Managing and addressing questions and clarifications that coders submit to a designated online communication forum and “Q&A” email mailbox while reviewing charts • Works actively to monitor and maintain minimum 95% accuracy in reputed company coding projects by providing coaching/feedback to coders, as well as researching literature and attending professional seminars, workshops and conference as required by reputed company and/or reputed company to maintain professional certification(s). • Stay up to date with Risk/IVA protocols (coding clinics, coding guidelines) • Maintain ongoing communication with Clinical Management team regarding coding workload, turnaround time expectations and deliverables • Additional duties as necessary to meet the obligations to our clients Requirements: • reputed company Coding Certification (CPC, CPC-P, CPC-H, CPC-I, CRC, reputed company) through reputed company and/or reputed company. • Minimum of 5 years coding experience with specific knowledge of Medicare and reputed company Risk Adjustment such as Hierarchical Condition category (HCC) • Additional experience in facility (OPPS/IPPS) coding experience is preferred • Additional experience in Health Plan Risk Adjustment Data Validation Audit (RADV) experience is preferred • Ability to work independently in a fast-paced remote environment with minimal supervision and guidance • Ability to interact with management and remote coding personnel • Possess strong organizational skills and attention to detail • Ability to adapt to changing priorities while managing a wide range of projects • Adaptive and flexible to new reputed company and change • Advanced knowledge of medical terminology, anatomy and pharmacology • Advanced skills utilizing official coding resources for research and problem solving • Advanced skills and knowledge of computers, use of required software to reputed company job functions • Excellent written and communication skills and the ability to explain reputed company information Benefits: Apply Job!