Compliance Auditing Specialist in Valhalla, NY for WMCHealth

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University of Maryland Medical System

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Compliance Auditing Specialist

Job Summary: Serves as an internal expert on Risk Adjustment and Hierarchical Conditions Categories (HCC) coding. Specific duties include performing concurrent and retrospective reviews of documentation and coding and working with providers and staff to ensure the accuracy and completeness of medical record documentation and coding. Provides training, education and coaching to providers and staff regarding accurate and complete medical record documentation and coding in compliance with established documentation and coding standards. Responsibilities: * Audits medical records to assure compliance with applicable coding and documentation standards. Manages query process that is consistent with industry standards,

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