Radv Coding Jobs (NOW HIRING)

This role ensures compliance with CMS RADV guidelines, coding standards, and risk adjustment policies while maintaining the highest quality and accuracy in medical record documentation. This is a ...

Experience with Risk Adjustment and/or RADV audit coding Strong understanding of ICD-10-CM coding guidelines Knowledge of CMS HCC models and risk adjustment methodologies Experience reviewing ...

In this role, you will conduct provider and coder-level audits, review medical record documentation and coding accuracy, identify compliance risks and outliers, and support RADV and other risk ...

... RADV coding audit to ensure completeness and coding accuracy of all submissions to CMS. 5. Maintains a comprehensive tracking and management tool for assigned IPA's within Alignments Healthcare ...

The Risk Coding Audit team works to manage accurate and compliant coding practices, find ... Lead end-to-end RADV efforts, coordinating cross‐functional teams, managing audit preparation and ...

At least 5-7 years of experience in medical coding, risk coding, or RADV audits required * At least 1-2 years of experience in a management or supervisory role required Knowledge, Skills, and ...

At least 5-7 years of experience in medical coding, risk coding, or RADV audits required * At least 1-2 years of experience in a management or supervisory role required Knowledge, Skills, and ...

This role supports coding compliance oversight activities related to Medicare Advantage Risk Adjustment, Risk Adjustment Data Validation (RADV), provider documentation integrity, and coding accuracy ...

This role supports coding compliance oversight activities related to Medicare Advantage Risk Adjustment, Risk Adjustment Data Validation (RADV), provider documentation integrity, and coding accuracy ...

Core Responsibilities: • Proficient in assigning accurate ICD-10 diagnosis codes in accordance with Official Coding Guidelines and Conventions, Cigna IFP Coding Guidelines, and HHS' RADV Protocols ...

A CPC, CPMA, CRC, CCS-P, CCS, RHIA, or RHIT certification is essential, along with at least five years of experience in Medicare Risk Adjustment coding and familiarity with RADV audits. Proficiency ...

This role supports coding compliance oversight activities related to Medicare Advantage Risk Adjustment, Risk Adjustment Data Validation (RADV), provider documentation integrity, and coding accuracy ...

Requires direct experience supporting or responding to CMS RADV audits, internal coding compliance audits, or OIG related reviews is strongly preferred. * Requires advanced proficiency in ICD-10-CM ...

... RADV audit expectations. • Flag documentation inconsistencies or incomplete provider documentation for clinical review. Workflow & Productivity • Complete assigned coding volumes within ...

... RADV support, and the auditing of Client's medical chart retrieval and coding vendors. * Collect and document chart and coding information as required for Commercial Risk Adjustment and Medicare ...

... RADV audit expectations. • Flag documentation inconsistencies or incomplete provider documentation for clinical review. Workflow & Productivity • Complete assigned coding volumes within ...

ICD 10-CM, CPT, HCPCS, DRG, HCC coding and RADV audits). * Extensive knowledge of documentation and coding guidelines established by the Center for Medicare and Medicaid Services (CMS) and the ...

Lead Risk Adjustment Data Validation (RADV) and related diagnosis code audits (for Finance/Risk Adjustment as applicable). * Develop and deliver training and education for providers and internal ...

Lead Risk Adjustment Data Validation (RADV) and related diagnosis code audits (for Finance/Risk Adjustment as applicable). * Develop and deliver training and education for providers and internal ...

ICD 10-CM, CPT, HCPCS, DRG, HCC coding and RADV audits). * Extensive knowledge of documentation and coding guidelines established by the Center for Medicare and Medicaid Services (CMS) and the ...