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Manager Remote Hcc Auditor Jobs in Washington (NOW HIRING)

Medical Auditor Job Type: Contractor Location: Remote Job Overview We are seeking experienced ... Support audit program management and quality improvement initiatives. Required Qualifications * 10+ ...

Hybrid - onsite and remote Hours: 40 hrs a week Security Clearance: None but full background check ... Help draft audit summaries and periodic reports for management review. * Participate in internal ...

Hybrid - onsite and remote Hours: 40 hrs a week Security Clearance: None but full background check ... Help draft audit summaries and periodic reports for management review. * Participate in internal ...

Hybrid - onsite and remote Hours: 40 hrs a week Security Clearance: None but full background check ... Help draft audit summaries and periodic reports for management review. * Participate in internal ...

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... party auditing experience across their career along with FedRamp. GENERAL JOB SUMMARY: As a ... System Security Plans, Contingency Plans, Configuration Management Plans, Incident Response Plans ...

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Manager Remote Hcc Auditor information

What is the difference between Manager Remote Hcc Auditor vs Remote Hcc Auditor?

AspectManager Remote Hcc AuditorRemote Hcc Auditor
CertificationsTypically requires CPC or CCS certifications, managerial credentialsRequires CPC or CCS certifications, focus on auditing skills
Work EnvironmentSupervises teams remotely, manages audit processesPerforms audits remotely, focuses on individual tasks
Employer & Industry UsageUsed by healthcare insurers, auditing firms, and healthcare providersCommon in healthcare insurance companies, auditing firms

The Manager Remote Hcc Auditor oversees audit teams and manages audit processes remotely, requiring leadership skills and certifications. In contrast, the Remote Hcc Auditor primarily conducts individual audits remotely, focusing on detailed review work. Both roles share certification requirements and industry usage but differ mainly in scope and responsibilities.

What are the most commonly searched types of Remote Hcc Auditor jobs in Washington?

The most popular types of Remote Hcc Auditor jobs in Washington are:

What are popular job titles related to Manager Remote Hcc Auditor jobs in Washington?

For Manager Remote Hcc Auditor jobs in Washington, the most frequently searched job titles are:

What cities in Washington are hiring for Manager Remote Hcc Auditor jobs?

Cities in Washington with the most Manager Remote Hcc Auditor job openings:

HCC Coding Validation Specialists

Columbia, MD • Remote

Contractor

Re-posted 23 days ago


Job description

Job description:

Job Overview

We are seeking a highly skilled and detail-oriented HCC Coding Analyst to join our healthcare revenue cycle management team. The ideal candidate will possess a comprehensive understanding of hierarchical condition categories (HCC) coding, medical billing, and medical record abstraction. As an HCC Coding Analyst, you will play a vital role in ensuring accurate documentation and coding of patient records to optimize reimbursement from government programs such as the Centers for Medicare and Medicaid Services (CMS). Your expertise in ICD-9, ICD-10, CPT coding, and DRG assignment will contribute significantly to the efficiency and compliance of our billing processes. This position offers an opportunity to work within a dynamic healthcare environment dedicated to accuracy, compliance, and quality patient care.

Duties

  • Review NLP-generated HCC coding output.
  • Validate assigned codes against available documentation.
  • Identify unsupported, inaccurate, or missing codes.
  • Make corrections in the platform or designated workflow.
  • Follow customer coding instructions and project guidelines.
  • Complete assigned records in accordance with agreed production expectations.
  • Utilize electronic health record (EHR) systems and electronic health records (EHR) management tools for coding, record abstraction, and billing workflows.
  • Conduct audits of coded records to identify discrepancies and implement corrective actions to improve coding accuracy.
  • Maintain up-to-date knowledge of changes in medical coding standards, CMS regulations, and healthcare policies affecting reimbursement.
  • Support revenue cycle management initiatives by ensuring precise coding that maximizes appropriate reimbursements while maintaining compliance.

Requirements

  • Proven experience in medical coding with a focus on HCC coding within a healthcare setting.
  • Strong knowledge of ICD-9, ICD-10, CPT coding systems, and DRG assignment processes.
  • Familiarity with medical billing procedures, medical records management, and electronic health record (EHR) systems.
  • Understanding of the CMS guidelines for risk adjustment models and reimbursement policies.
  • Excellent attention to detail with the ability to accurately abstract information from complex medical records.
  • Knowledge of medical terminology, anatomy, pathology, and clinical documentation practices.
  • Prior experience with electronic health records (EHR) management for billing and coding is highly desirable.
  • Effective communication skills for collaborating with clinicians, billing teams, and auditors.

Join our team as an HCC Coding Analyst to ensure precise clinical documentation that supports optimal reimbursement while maintaining regulatory compliance within a fast-paced healthcare environment!

Benefits:

  • Flexible schedule
  • Work Location: Remote