MRA Coding Auditor

🕒 2 days ago

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Alignment Health

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 2013

⚕️ Healthcare Insurance

💰 $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. • 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, or CRC. • Proficient user in MS office suite – Excel, Word, Outlook • Previous use of Epic, Allscripts, EZCap

🏖️ Benefits

• Health insurance • 401(k) matching • Flexible work arrangements • Professional development opportunities