Coding Quality Auditor Jobs

AHI agilon health, inc.Remote - USACoding Quality Auditor

• Review and analysis of clinical documentation for unsupported HCC coding
• Responds to coding questions submitted by market coders.
• Review and analysis of clinical documentation for missed HCC coding opportunities
• Evaluates documentation to ensure diagnosis coding is supported, meets specificity requirements to support clinical indicators and in compliance with Risk Adjustment documentation standards.
  • Review and analysis of clinical documentation for missed HCC coding opportunities
  • Review and analysis of clinical documentation for unsupported HCC coding
• Audits Coder queries to ensure verbiage is AHIMA compliant.
• Performs coding audits providing expert coding and documentation education, timely feedback and coaching.
• Document detailed chart audit findings including all coding and documentation errors as well as any potential HCC opportunities
• Correlate activities, processes and HCC results/ metrics to evaluate outcomes.
• Conducts review and communicates feedback to professionals such as Clinical Chart Reviewers, market coders and third-party vendors.
• Assist in developing workflows and policies and procedures related to the Coding Department
• Performs expert level review of submitted visit notes; identifies gaps in clinical documentation that may require additional education.

• Provide excellent customer services skills, including consistently displaying awareness and sensitivity to the needs of internal and/or external clients. Proactively ensuring that these needs are met or exceeded.
• Understand, adhere to, and implement the Company’s policies and procedures.
• Demonstrate attention to detail and accuracy in work product.
• Take personal responsibility for personal growth including acquiring new skills, knowledge, and information.
• Engage in excellent communication which includes listening attentively and speaking professionally.
• Other duties as assigned by manager
• Set and complete challenging goals.