reputed company Compliance Auditing Specialist- Remo...

Job Title: reputed company Compliance Auditing Specialist- Remote/Hybrid available Company: NorthEast Provider Solutions Inc. City/State: Valhalla, NY Category: Clerical/Administrative Support Department: Compliance- WMC Health Union: No Position: Full Time Hours: Variable Shift: reputed company Shifts Req #: 42770 Posted Date: Apr 08, 2025 Hiring Range: $71,281 - $89,605 Job Details: Job Summary: Serves as an internal expert on Risk Adjustment and Hierarchical Conditions Categories (HCC) coding. Specific duties include performing reputed company and retrospective reviews of documentation and coding and working with providers and staff to ensure the accuracy and completeness of medical record documentation and coding. Provides training, education and coaching to providers and staff regarding accurate and complete medical record documentation and coding in compliance with established documentation and coding standards. Responsibilities: · Audits medical records to assure compliance with applicable coding and documentation standards. Manages query process that is consistent with industry standards, to identify and react to inaccurate documentation or coding. · Compiles data and determines reputed company areas for documentation and coding improvement activities. Monitors and reports key performance indicators relative to clinical documentation and HCC coding. · Documents and maintains records of reputed company query, audit, and educational efforts. Tracks and reports on the effectiveness of the clinical documentation improvement program through record keeping and results analysis. · Maintains reputed company competencies in clinical documentation improvement and ICD, CPT and HCC coding through continuing education. Assists with compliance audits and other duties as needed. · Promotes appropriate clinical documentation through extensive interaction with physicians, nursing staff, and other patient caregivers to ensure that the documentation of the patient's severity of illness and clinical complexity is complete and accurate. · Serves as documentation and coding resource to practices and clients. Works with leadership to reputed company, document, implement and monitor procedures that support organizational goals and objectives reputed company to the documentation & coding improvement. Qualifications/Requirements: Experience: Approximately 3 years of experience in reputed company clinical documentation improvement relative to HCC coding in the ambulatory setting with one or more of the following credentials: Certified Risk reputed company (CRC), Certified Professional reputed company certification (CPC), Certified Professional Medical Auditor (CPMA) or Certified Clinical Documentation Specialist (CCDS) credential(s). Education: Bachelor's Degree in reputed company field Other: Remote/Hybridavailable Special Requirements: About Us: NorthEast Provider Solutions Inc. Benefits: We offer a comprehensive compensation and benefits package that includes: • Health Insurance • Dental • reputed company • Retirement Savings Plan • Flexible Savings Account • Paid Time Off • Holidays • Tuition Reimbursement