Clinical Documentation Integrity, Claims Auditor

🔥 1 minute ago

🇺🇸 United States – Remote

💵 $58k - $85k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🏥📝 Medical Writer

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Devoted Health

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2017

🏥 Healthcare

⚕️ Healthcare Insurance

🧘 Wellness

Healthcare • Healthcare Insurance • Wellness

Devoted Health is a healthcare company that offers Medicare Advantage plans designed to provide comprehensive health coverage with added benefits like dental, eyewear, gym memberships, and prescription drugs at competitive rates. The company emphasizes member support and service, ensuring that clients can easily navigate their benefits and access needed healthcare services. Devoted Health is committed to helping customers save money and enhance their health and wellness through a complete package of benefits and support.

📋 Description

• Perform medical record audits based on organizational priorities, including concurrent Clinical Documentation Improvement workflows and retrospective auditing • Conduct coding reviews and audits that may result in the addition, deletion, adjustment or confirmation of diagnoses • Review audit results with the CDI Manager • Assist in creating and communicating provider and vendor education regarding coding trends and compliant coding opportunities • Assist the CDI Manager with recommendations for process improvements to enhance coding quality goals and outcomes • Handle related duties, including provider education and training and working with vendor partners • Meet with and educate providers and support staff in office locations during domestic travel • Remain current on ICD-10-CM coding guidelines, AHA Coding Clinic guidance and CMS Risk Adjustment guidance

🎯 Requirements

• BA/BS in Nursing preferred but not required • 3+ years as an outpatient CDI or 5+ years in risk adjustment coding/auditing • CPC or CRC certification through AAPC or CDI or CCS certification through AHIMA • Prior CPT coding a plus • Strong analytical and problem solving skills • Strong oral and written communication skills • Strong organization and time management skills • Ability to work independently • Ability to multi-task • Remain current on ICD-10-CM coding guidelines, AHA Coding Clinic Guidance and CMS Risk Adjustment guidance • Some domestic travel required • Full-time employees are eligible for the total rewards package

🏖️ Benefits

• Employer sponsored health, dental and vision plan with low or no premium • Generous paid time off • $100 monthly mobile or internet stipend • Stock options for all employees • Bonus eligibility for all roles excluding Director and above; Commission eligibility for Sales roles • Parental leave program • 401K program

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