Job Summary
An insurance company is in need of a Telecommuting Senior Clinical Quality Assurance Coder in Las Vegas.
Individual must be able to fulfill the following responsibilities:
- Documenting audit findings in database and / or MS Excel
- Performing a detailed review of medical record to identify clinical indicators
- Performing chart reviews in accordance guidelines with ICD - 10 - CM Official Guidelines
Skills and Requirements Include:
- Travel to facilities to perform chart reviews
- Knowledge of Risk Adjustment Hierarchal Condition Category Methodology
- RHIA, RHIT, CCS, CPC, CPC-H Certification
- Advanced knowledge of medical terminology, pharmacology and anatomy and physiology
- 5+ years coding experience in a provider's office, inpatient setting, or a Medicare Advantage health plan setting
- High school education or equivalent experience
