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QHP Auditor (AHA)
QHP Auditor (AHA)ICONMA • MA, US
QHP Auditor (AHA)

QHP Auditor (AHA)

ICONMA • MA, US
22 hours ago
Job type
  • Full-time
Job description

Our Client, a Medical Center company, is looking for a QHP Auditor (AHA) for their Remote location.

Responsibilities :

  • Perform code abstraction and / or coding quality audits of medical records to ensure ICD-10-CM codes are accurately assigned and supported by clinical documentation. Primarily for QHP (RADV)
  • Ability to code government and state models. This includes code everything projects.
  • Maintain current knowledge of ICD-10-CM codes, CMS documentation requirements, and state and federal regulations.
  • Ability to maintain a 95% accuracy rate on all coding projects.
  • Coders assist with code abstraction and coding quality audits using the Official Coding
  • Guidelines for ICD-9-CM / ICD-10-CM, AHA Coding Clinic Guidance, and in accordance with all state regulations, federal regulations, internal policies, and procedures.

Requirements :

  • Current core coding credentials through AHIMA or AAPC (RHIT, CCS, CCS-P, CPC, CIC, etc.)
  • The AAPC CRC (Certified Risk Adjustment Coder) coding certification is highly recommended.
  • RADV Experience Mandatory
  • Strong organizational skills
  • Technical savvy with high level of competence in basic computer skills, Microsoft Outlook,
  • Word, Excel, and Outlook.
  • Strong written and verbal communication skills
  • Ability to work independently in a remote environment.
  • Private lockable office space to ensure security of Member PHI
  • Minimum of 7 years coding experience with at least 5 of those years in Risk Adjustment coding.
  • Completion of an accredited medical coding program with current unencumbered credentials.
  • CPC Certification
  • Risk Adjustment coding : 5 years.
  • Coding : 7 years

    • Why Should You Apply?

    Health Benefits

    Referral Program

  • Excellent growth and advancement opportunities

    • As an equal opportunity employer, ICONMA provides an employment environment that supports and encourages the abilities of all persons without regard to race, color, religion, gender, sexual orientation, gender identity or express, ethnicity, national origin, age, disability status, political affiliation, genetics, marital status, protected veteran status, or any other characteristic protected by federal, state, or local laws.

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