Bachelors degree in Nursing or Health Information Management is required
Minimum 5 years related experience working on the payer or provider side in Risk Adjustment Validation including prospective documentation reviews and pre-visit planning
Certified Risk Adjustment Coder required
Population Health experience, NCQA/HEDIS CDS experience preferred
Knowledge of care delivery documentation systems and related medical record documents
Excellent understanding of ICD10CM coding and guidelines
Ability to work independently in a time-oriented environment
Strong broad-based clinical knowledge and understanding of pathology/physiology of disease processes
Benefits:
Health insurance
Discretionary annual bonuses
Merit increases
Flexible Spending Accounts
403(b) savings matches
Paid time off
Career advancement opportunities
Resources to support employee and family well-being
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Company : Boston Medical Center (BMC)
Salary : Full-time .
02What you'll need
Experience
5 to 9 Yrs
Employment Type
Full time
Programming languages
Population HealthPathologyPhysiologyRisk Adjustment ValidationPhysician documentation queriesICD10CM codingNCQAHEDIS CDSClinical documentation education