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New Jersey Licensed Clinical Auditor
A company is looking for a Clinical Auditor - Remote. Key Responsibilities Perform clinical validation audits and ensure accurate coding for Medicare Risk Adjustment reimbursement Compile detailed findings and prepare client reports following medical record audits Coordinate with clients to ensure proper processing of patient data for audits Required Qualifications Associate Degree or equivalent from an accredited practical nursing program Valid nursing license (RN/LPN) and relevant coding certifications (CRN-C, CCS, CPC, RHIA, or RHIT) with coding experience Documentation Improvement experience and knowledge of Hierarchical Condition Categories (HCC) Experience with Medicare Advantage plans and managed health care systems Proficiency in MS Word, Excel, and PowerPoint; ability to learn new software
A company is looking for a Clinical Auditor - Remote.
Key Responsibilities
Perform clinical validation audits and ensure accurate coding for Medicare Risk Adjustment reimbursement
Compile detailed findings and prepare client reports following medical record audits
Coordinate with clients to ensure proper processing of patient data for audits
Required Qualifications
Associate Degree or equivalent from an accredited practical nursing program
Valid nursing license (RN/LPN) and relevant coding certifications (CRN-C, CCS, CPC, RHIA, or RHIT) with coding experience
Documentation Improvement experience and knowledge of Hierarchical Condition Categories (HCC)
Experience with Medicare Advantage plans and managed health care systems
Proficiency in MS Word, Excel, and PowerPoint; ability to learn new software