Job Summary
A company is looking for a Coding Auditor & Educator.
Key Responsibilities
- Assist with retrospective and concurrent coding for PACE Dual participants
- Conduct pre-visit chart preparations and post-visit chart reviews
- Oversee audits and participate in provider education programs to ensure compliance with CMS guidelines
Required Qualifications
- Associates Degree preferred; three years of relevant experience may be substituted
- Minimum of four years of related experience in coding and auditing
- Minimum of two years of Risk Adjustment (HCC) coding experience in a managed care environment
- Current CCS, CCS-P, CPC, CPC-H, CPMA, or CRC credential
- Strong knowledge of ICD-10 coding standards
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