Clinical Documentation Reviewer
Confirmed live in the last 24 hours
Experience Level
Desired Skills
  • 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)
  • Evaluate chart review performance and provide analysis to assist physicians and/or staff in improving and supporting coding and documentation best 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
  • Develop provider educational materials and tools to support providers in improving coding accuracy and specific documentation to capture patient severity of illness (presentations, webinars, audit trends, flyers, and coding tip sheets, etc.)
  • 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
Interwell Health

201-500 employees