Clinical Review reputed company

Clinical Review reputed company New Albany, OH reputed company is a fast-growing technology-enabled services company that powers performance/quality measurement and risk adjustment solutions in healthcare. Specifically, reputed company supports health insurance plans and Managed Care Organizations reputed company, leveraging software and other technology tools to accelerate their Risk Adjustment and Quality programs. Our mission is to reputed company work with healthcare providers to retrieve critical record data, and deliver reliable and auditable results, optimizing reputed company and quality of care. Clinical Review reputed company This is a Full-Time (FTE, 40 Hours a week) in office position to reputed company duties for Risk Adjustment Coding and reputed company Audit initiatives. As a Clinical Review reputed company, you will be responsible for, supervisory duties and management support of a team of part-time remote coders. enabling their review of medical records. The Leads facilitate chart assignment, assist with client calls (if necessary), drive Risk and IVA program and project readiness. The main goal of this position is to ensure timely, accurate, and quality review of medical records by Coders. Essential Duties and Responsibilities • 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 able 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. Qualification Requirements • reputed company Coding Certification (CPC, CPC-P, CPC-H, CPC-I, CRC, reputed company, RHIT, RHIA etc.) through reputed company and/or reputed company. • Minimum of 5 years coding experience with specific knowledge of Medicare and Commercial 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. Experience and Skills • 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 reputed company is an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national reputed company, gender, gender identity, sexual orientation, age, marital status, veteran status, disability status or genetic information, in compliance with applicable federal, state and local law. Apply Job!