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Risk Adjustment Coding Auditor

Company: St. Joseph's Health
Location: Syracuse
Posted on: March 27, 2020

Job Description:

Our Risk Adjustment Coding Auditor provides coding quality auditing services and evaluates clinical documentation to ensure accurate coding and documentation in the care delivery model. As well as be responsible for reviewing member records to maximize risk scoring accuracy, timely communication of coding and documentation quality issue and developing and providing education resources for providers. Responsibilities Include: Identifies issues and trends in coding and documentation that affect provider risk adjustment factor scores. Evaluates and makes recommendations of code selection on the Risk Adjustment assignment to ensure proper level of payment. Performs coding quality audits and evaluates clinical documentation of provider charts. Manages National Sample RADV audits which includes coordination of internal and external deliverables. Oversight of third party administrators; performs quality audits on vendor charts, assesses and manages overall effectiveness of vendors.

Keywords: St. Joseph's Health, Syracuse , Risk Adjustment Coding Auditor, Accounting, Auditing , Syracuse, New York

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