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emr icd-10-cm regulatory compliance cpc risk_adjustment_data_validationπ Description
- Daily risk adjustment ops: medical record reviews for ICD-10-CM (ACA/MA).
- Maintain compliance with ICD-10-CM guidelines and risk adjustment standards.
- Participate in CMS audits of risk adjustment activities.
- Develop relationships to foster understanding of the risk adjustment process.
- Support in identifying document improvement opportunities for MA and ACA education.
- Identify process improvements to enhance medical encounter review efficiency.
- Compliance with all applicable laws and regulations.
- Other duties as assigned.
π― Requirements
- Bachelor's degree in a relevant field of study or commensurate work experience.
- Certified professional coder (CPC)
- 2+ years retrospective risk adjustment coding experience.
π Benefits
- Medical, dental, and vision benefits.
- Unlimited vacation and annual performance bonuses.
- 11 paid holidays, sick time, parental leave, 401(k).
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