- Evaluate chart review performance and provide analysis to assist physicians and/or staff in imporving and supporting coding and documentation practices.
- Assist with Practice Support of Chart Review Process and Education
- Identify areas of improvement that will be used to plan provider education and create action plans for practices to address deficiencies.
- Prepare documents to present to practices or for follow-ups such as chart note examples, provider documentation trends, provider educational materials or coding guidelines
- Provide coding education to physicians, advanced practitioners, staff as needed
- Ensure compliance with all applicable federal, state and/or county laws and regulations related to coding and documentation guidelines for risk adjustment.
- Promotes transparency and collaborates with project team members to ensure effective coordination
- Certified Professional Coder (CPC)
- Certified Risk Adjustment Coder (CRC) Preferred.
- Bachelor's degree in related field of study preferred.
- 3+ years of experience with Risk Adjustment HCC coding or abstraction.
- 2+ years of ICD-10 Coding, Chart Review Auditing.
- Comprehensive understanding of HCC coding rules & regulations.
- Excel, Word, PowerPoint. Must be proficient with Excel functions to develop data trends (pivot tables, graphs, etc).
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Clinical Documentation Reviewer - Waltham, United States - InterWell Health
Description
Interwell Health is a kidney care management company that partners with physicians on its mission to reimagine healthcare-with the expertise, scale, compassion, and vision to set the standard for the industry and help patients live their best lives. We are on a mission to help people and we know the work we do changes their lives. If there is a better way, we will create it. So, if our mission speaks to you, join us
Interwell Health is seeking an experienced Clinical Documentation Reviewer to join our Risk Adjustment team. The Clinical Documentation reviewer will assist risk adjustment manager in data collection and reporting of relevant data to support the chart review accurate coding program. The position will collaborate with the risk adjustment team for education and improvement plans to ensure optimal documentation and program effectiveness while adhering to the IWH corporate compliance programs and following regulatory requirements.
The work you will do:
The skills and qualifications you need:
Our mission is to reinvent healthcare to help patients live their best lives, and we proudly live our mission-driven values:
We care deeply about the people we serve.
- We are better when we work together.
- Humility is a source of our strength.
- We bring joy to our work.
- We deliver on our promises.
We are committed to diversity, equity, and inclusion throughout our recruiting practices. Everyone is welcome and included. We value our differences and learn from each other. Our team members come in all shapes, colors, and sizes. No matter how you identify your lifestyle, creed, or fandom, we value everyone's unique journey.
Oh, and one more thing ... a recent study shows that men apply for a job or promotion when they meet only 60% of the qualifications, but women and other marginalized groups apply only if they meet 100% of them. So, if you think you'd be a great fit, but don't necessarily meet every single requirement on one of our job openings, please still apply. We'd love to consider your application
Come join us and help our patients live their best lives. Learn more at
It has come to our attention that some individuals or organizations are reaching out to job seekers and posing as potential employers presenting enticing employment offers. We want to emphasize that these offers are not associated with our company and may be fraudulent in nature. Please note that our organization will not extend a job offer without prior communication with our recruiting team, hiring managers and a formal interview process.
