Alignment Health
501 - 1000 employees
Founded 2013
⚕️ Healthcare Insurance
🛡️ Insurance
🏥 Healthcare
💰 $135M Series C on 2020-03
Healthcare Insurance • Insurance • Healthcare
Alignment Health is dedicated to providing comprehensive care for Medicare members, emphasizing the needs of seniors, the chronically ill, and those who are frail. With a mission to transform senior healthcare, Alignment Health leverages a tailored care model and advanced technology to deliver high-quality, low-cost healthcare services. Their 24/7 concierge care team collaborates with trusted local providers to ensure that every member receives personalized care, reflecting the company's commitment to treating all members as valued family members.
Medicare Risk Adjustment Coding/Auditor, Prior CMS-HCC V28 Required
🔥 9 minutes ago
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Alignment Health
501 - 1000 employees
Founded 2013
⚕️ Healthcare Insurance
🛡️ Insurance
🏥 Healthcare
💰 $135M Series C on 2020-03
Healthcare Insurance • Insurance • Healthcare
Alignment Health is dedicated to providing comprehensive care for Medicare members, emphasizing the needs of seniors, the chronically ill, and those who are frail. With a mission to transform senior healthcare, Alignment Health leverages a tailored care model and advanced technology to deliver high-quality, low-cost healthcare services. Their 24/7 concierge care team collaborates with trusted local providers to ensure that every member receives personalized care, reflecting the company's commitment to treating all members as valued family members.
📋 Description
• Supports regular quality assurance (QA) audits of internal Coding Analyst Team to validate and confirm coding & abstracting quality. • Tracks and reports progress of QA audits performed on the coding vendors to verify coding accuracy. • Works with Risk Adjustment Management on any MRA data validation / coding audit. • Analyzes and shares audit results with Manager for training and documentation improvement. • Ensures compliance with all applicable federal, state & local regulations.
🎯 Requirements
• Minimum three years of Medicare Risk Adjustment coding in a medical group or health plan setting required • High School Diploma or GED • Completion of a Medical Coding training program • Certified Coder required: CCS, CCS-P, CPC, CRC, RHIT or RHIA • Proficient user in MS office suite – Excel, Word, Outlook • Previous use of Epic, Allscripts, EZCap, Athenahealth
🏖️ Benefits
• Health insurance • Retirement plans • Professional development • Flexible work arrangements
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