Top 3 Sr risk adjustment coder Jobs in Paterson, Nj

Coder Auditor/Senior CDI Specialist
HAMASPIK CHOICE INC —Brooklyn, NY
- $83,000 - $90,000 a year
- Full-time
- Writing skills
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Coder Auditor/Senior CDI Specialist
HAMASPIK CHOICE INC —Spring Valley, NY
- $83,000 - $90,000 a year
- Full-time
- Writing skills
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Sr Risk Adjustment Coder
University HealthCare Alliance —Newark, NJ
- $44.13 - $57.36 an hour
- Full-time
- Hybrid work
- 5 years
- HIPAA
- Research

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sr risk adjustment coder jobs near paterson, nj

Coder Auditor/Senior CDI Specialist

HAMASPIK CHOICE INC -
Brooklyn, NY

Quick Apply

Job Details

Full-time
$83,000 - $90,000 a year

Benefits

Health insurance
Dental insurance
401(k)
Paid time off
Vision insurance

Qualifications

Collaborate with healthcare professionals
Medicare
Managed care
Managed care organization experience
Policy & process development
Resource utilization in healthcare
Clinical documentation improvement
Certified Risk Coder (CRC)
Clinical documentation standards
Medical record review for billing accuracy

Full Job Description

Job Summary:

We are seeking a detail-oriented and experienced Coder Auditor to join our dynamic team. The ideal candidate will be responsible for ensuring the accuracy and completeness of clinical data used to support risk adjustment coding for our Medicare plan. You will work closely with healthcare providers and clinical teams to identify and mitigate documentation gaps, ultimately supporting our mission to provide exceptional care to our members.

Responsibilities:

Audit and QC the coding team’s output for accuracy and compliance with HCC/ICD-10-CM guidelines
Review disposition decisions
Speak directly with providers — writing and following up on provider queries for insufficient or ambiguous documentation
Educate providers on documentation practices that support accurate risk adjustment coding
Serve as the escalation point for complex charts and coding questions from the coding team
Track error patterns and trends in coding quality and report on them
Be able to work independently as a senior-level resource
Be comfortable owning second-level review
Strong knowledge of HCC hierarchy, RAF methodology, and CMS risk adjustment guidelines required

Specific Knowledge, Skills, and Abilities:

Ability to read and interpret documents, identify areas of coding gaps. Ability to speak effectively with physicians and employees of the agency.
Ability to identify areas of over or under utilization and work with team and physician groups to develop processes to avoid
Ability to work with team on development of processes for right-coding, appropriate utilization, and closing gaps in care

Required Education, Experience, and Licenses:

CRC certification required.
Managed Care/Medicare Advantage experience required, dual-eligible or FIDE-SNP experience a plus.
At least 3 years’ satisfactory experience in Managed Care, desired.

Benefits:

Medical, dental, and vision insurance
Generous PTO package
Multiple floating holidays
401 (K) with employer contribution

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sr risk adjustment coder jobs in paterson, nj

Coder Auditor/Senior CDI Specialist

Coder Auditor/Senior CDI Specialist

Sr Risk Adjustment Coder

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