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quality assurance ehrs icd-10-cm regulatory compliance medicare advantageπ Description
- Manage onboarding of offshore coding teams, including IT setup and training.
- Monitor offshore team performance: production, coding quality, pace.
- Oversee volume pacing and quality scoring reporting for offshore RA.
- Serve as primary liaison between offshore teams and onshore leadership.
- Evaluate records to ensure ICD-10-CM code validity; conduct weekly audits.
- Review SLA performance and address coding trends with leadership.
π― Requirements
- Bachelor's degree or commensurate experience; strong communication.
- 5+ years RA Coding and Auditing.
- 3+ years SME in Medicare Advantage and ACA Risk Adjustment.
- 1+ year training/mentoring RA Coders/Auditors.
- 2+ years experience with EHRs and CCDs.
- CPC certification.
π Benefits
- Medical, dental, and vision benefits.
- 401(k) retirement plan.
- Life and disability insurance.
- 11 paid holidays and paid sick time.
- Paid parental leave.
- Unlimited vacation and annual bonuses.
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