Risk Adjustment Coding Specialist - Baltimore
1 month ago
Job summary
The Risk Adjustment Coding Specialist supports the retrospective risk adjustment supplemental filing and any other chart coding functions by performing moderately complex medical record review and coding ensuring compliance with all applicable Federal State and/or County laws and regulations related to coding and documentation guidelines.Verifies accuracy completeness and appropriateness of diagnosis codes based on medical documentation provided at all levels of complexity. Utilizes appropriate coding guidelines recommends any changes to diagnosis codes based on chart review Achieves maintains coding accuracy levels greater than 90%. Works with vendors providers hospital staff to coordinate record access.
Identifies documents coding observations or discrepancies provides information to management team further enhance quality provider education.
Job description
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