Clinical Documentation Auditor
CVS Health
full-time
Posted on:
Location Type: Remote
Location: Louisiana • United States
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Salary
💰 $21 - $37 per hour
About the role
- Comprehensively review outpatient provider notes for accuracy and completeness.
- Synthesize coding correction opportunities for ongoing provider education.
- Achieve 90%+ audit results on coding correction accuracy and less than 25% on missed coding correction opportunities.
- Review on average a minimum of 20 provider notes per day.
- Maintain and grow the current knowledge of the Medicare and Commercial Risk Adjustment outpatient/inpatient billing systems/processes
- Identify trends and training opportunities to support clinical documentation accuracy improvement.
- Champion Coding Corrections standards and drive integration into Canopy tools and ongoing Care Team processes
- Other duties as assigned.
Requirements
- At least 3 years of experience in Medicare risk adjustment coding
- At least 3 years of experience in assigning/auditing ICD-10 CM codes to outpatient records
- Ability to succeed in a face-paced, ever-changing environment
- Self-starter with high degree of drive, initiative, and follow through
- Expert in accurate and specific documentation
- Strong communication skills
- A flexible and positive attitude
- Strong computer skills and basic knowledge of Microsoft Excel
- Ability to work independently with minimum supervision, excellent reliability, and a positive attitude
- CRC ("Certified Risk Coder") credential is required
- RN or LPN certification preferred
- US work authorization
- “Oakiness” - driven by our mission, exuding positive energy, scrappy, roll-up-your-sleeves attitude.
Benefits
- Competitive benefits; including paid vacation/sick time
- Generous 401K match with immediate vesting
- Health benefits
- Affordable medical plan options
- Employee stock purchase plan
- No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
- Benefit solutions that address different needs and preferences including paid time off, flexible work schedules, family leave, dependent care resources, tuition assistance, retiree medical access and many other benefits depending on eligibility.
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
Medicare risk adjustment codingICD-10 CM codingclinical documentation accuracycoding correction accuracyauditingprovider educationdata analysistrend identification
Soft Skills
strong communicationself-starterinitiativereliabilitypositive attitudeflexibilitydriveindependence
Certifications
Certified Risk Coder (CRC)RN certificationLPN certification