Top 67 cpma Jobs in remote

Outpatient Clinical Documentation Specialist
Boston Medical Center —Remote
- $27.88 - $40.38 an hour
- Full-time
- Nursing
- 5 years
- Computer literacy
- Health insurance
- Dental insurance
Consultant - Healthcare Compliance Auditor - HTS
Berkeley Research Group, LLC —Remote
- $70,000 - $150,000 a year
- Full-time
- Remote
- Microsoft Excel
- Bachelor of Science
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Multi-Specialty Professional Coder -Contractor
AAPC —Remote
- Contract
- Remote
- Customer service
- 5 years
- Computer literacy
Quick Apply
SME - Medicaid Program Integrity and Claims Audits
BerryDunn —Remote
- $120,000 - $140,000 a year
- Full-time
- Bachelor of Science
- Research
- Analysis skills
- Dental insurance
Inpatient Facility Coding Auditor
Professional Credit Service —Remote
- $39 - $43 an hour
- Full-time
- Remote
- HIPAA
- Mid-level
- 3 years
- Continuing education credits
- Health insurance
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Director, Revenue Cycle Management
Medvidi —Remote
- Contract
- 7 years
- System design
- HIPAA
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Certified Medical Coder
RADcube —Remote
- Full-time
- Remote
- Microsoft Outlook
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Multi-Specialty Professional Coder - Hospitalist Primary
AAPC —Remote
- Full-time
- Remote
- Customer service
- 5 years
- Computer literacy
- Health savings account
- Paid holidays
Quick Apply
Director, Post Pay Audit
Health Business Solutions LLC —Remote
- Remote
- 7 years
- Management
- HIPAA
Physician Coder
HMI Corporation —Nashville, TN
- Part-time
- Remote
- Mid-level
- Flexible schedule
Sr Manager, Post Pay Audit
Health Business Solutions LLC —Remote
- Remote
- 5 years
- Analysis skills
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Outpatient Coders
Cooper Thomas —Washington, DC
- Part-time
- Remote
- Anatomy knowledge
- Mid-level
- Office
Quick Apply
Physician Coding Auditor
MedKoder —Remote
- Full-time
- Remote
- Google Workspace
- Anatomy knowledge
- Microsoft Excel
- Profit sharing
- Continuing education credits
Quick Apply
Coding Education Specialist II
University of Colorado Medicine —Remote
- $30 - $35 an hour
- Full-time
- Remote
- Research
- Mid-level
- 3 years
- Health insurance
Denials Management Team Lead - Hospital Billing (HB)
ECU Health —Greenville, NC
- $24.69 - $35.99 an hour
- Day shift
- Remote
- High school diploma or GED
- Supervising experience
- Children
Healthcare Compliance Audit Analyst (Must have CPC, CCS-P, or CPMA)
U.S. Urology Partners —Remote
- Full-time
- Remote
- Microsoft Outlook
- Surgery
- Research
- Health savings account
- Health insurance
COMPLIANCE SPECIALIST
Duke Health —Durham, NC
- Full-time
- Remote
- HIPAA
- Mid-level
- Administrative experience
Physician Coder: Trauma Surgery
MedKoder —Remote
- Full-time
- Remote
- Google Workspace
- Anatomy knowledge
- Microsoft Excel
- Profit sharing
- Continuing education credits
Quick Apply
7d
Senior Specialist, Coding Auditor
Oscar Health —Remote
- $58,870 - $85,853 a year
- Remote
- HIPAA
- Mid-level
- Bachelor's degree
- Paid parental leave
- Paid holidays
Quick Apply
5d
Manager Coding Education and Denials
Lee Health —Fort Myers, FL
- $38.48 - $50.01 an hour
- Full-time
- Remote
- Microsoft Excel
- Management
- Research

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Outpatient Clinical Documentation Specialist

Boston Medical Center -
Remote

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Job Details

Full-time
$27.88 - $40.38 an hour

Benefits

Health insurance
Dental insurance
Flexible spending account
Paid time off
Vision insurance
403(b)
Opportunities for advancement

Qualifications

Bachelor's degree

Full Job Description

Outpatient Clinical Documentation Specialist

44370

remote

Full Time

POSITION SUMMARY:

The Risk Adjustment CDS will provide clinically based prospective, concurrent, and retrospective reviews of medical records for WellSense of members enrolled in value-based agreements to evaluate risk adjustment capture based on clinical documentation. The Risk Adjustment CDS will review risk adjustment gap lists for members, including suspect conditions, and perform chart reviews to determine clinical validity of open gaps. The Risk Adjustment CDS will utilize Physician documentation queries to communicate clinical indicators to Physicians/Other Qualified Health Care Providers in preparation for up-coming visits and/or in identifying patients that need to be seen for a visit. The goal of the risk adjustment reviews includes facilitation of appropriate physician documentation of care delivery to accurately reflect patient severity of illness and risk of mortality. Specific reviews are both determined internally and by requirements/requests of external payers or regulatory agencies and play a significant role in reporting quality of care outcomes and in obtaining accurate and compliant reimbursement based on patient risk.

Position: Outpatient Clinical Documentation Specialist

Department: Clinical Documentation

Schedule: Full Time

ESSENTIAL RESPONSIBILITIES / DUTIES:

Perform pre-visit planning chart review for up-coming patient appointments
Identify clinical indicators for suspect high-risk conditions to accurately capture patient disease burden and improve patient outcomes and reduce hospitalizations, WellSense contract performance, and improve provider clinical documentation
Create compliant Risk Adjustment CDI queries based on clinical indicators found in chart review
Manage CDI query provider engagement, respond to provider questions, assess clinical documentation to ensure documentation integrity and compliance with reported disease burden
Identify areas of risk and opportunity in provider documentation and coding in order to uphold clinical documentation integrity to ultimately reduce healthcare resource utilization.
Identify documentation education for Risk Adjustment/HCC documentation and coding
Track and Trend CDI findings and provider engagement for clinical documentation education purposes for any specialty within the hospital system
Potential to support on additional types of Risk Adjustment reviews
Additional duties as assigned

JOB REQUIREMENTS

REQUIRED EDUCATION AND EXPERIENCE:

Bachelor’s degree in Nursing or Health Information Management is required;

Minimum 5 years related experience working on the payer or provider side in Risk Adjustment Validation including prospective documentation reviews and pre-visit planning

Or Equivalent combination of education and experience

PREFERRED EDUCATION AND EXPERIENCE:

Population Health experience, NCQA/HEDIS

CDS experience

CERTIFICATIONS, LICENSES, REGISTRATIONS REQUIRED :

Certified Risk Adjustment Coder

CERTIFICATIONS, LICENSES, REGISTRATIONS PREFERRED:

CCDS, CCDS-O, CPMA, CDEO, RHIT/RHIA

KNOWLEDGE, SKILLS & ABILITIES (KSAs):

Knowledge of care delivery documentation systems and related medical record documents.
Knowledge of age-specific needs and the elements of disease processes and related procedures.
Strong broad-based clinical knowledge and understanding of pathology/physiology of disease processes.
Excellent written and verbal communication skills.
Excellent critical thinking skills.
Excellent understanding of Compliant Query processes in Risk Adjustment/Outpatient CDI.
Excellent understanding of ICD10CM coding and guidelines
Excellent understanding of risk adjustment methodology and value based care.
Working knowledge of CPT/HCPCS level II Coding
Ability to develop and maintain employee and medical staff relationships.
Ability to work independently in a time-oriented environment.
Computer literacy and familiarity with Microsoft 365 and basic office equipment..
Competency in tracking outcomes of risk adjustment/CDS activities.
Ability to adapt to changes in the workload, to work independently and effectively prioritize work assignments
Knowledge of DxCG Risk Adjustment methodology (MassHealth Medicaid).

Compensation Range:

$27.88- $40.38

This range offers an estimate based on the minimum job qualifications. However, our approach to determining base pay is comprehensive, and a broad range of factors is considered when making an offer. This includes education, experience, skills, and certifications/licensures as they directly relate to position requirements; as well as business/organizational needs, internal equity, and market-competitiveness. In addition, BMCHS offers generous total compensation that includes, but is not limited to, benefits (medical, dental, vision, pharmacy), discretionary annual bonuses and merit increases, Flexible Spending Accounts, 403(b) savings matches, paid time off, career advancement opportunities, and resources to support employee and family well-being.

NOTE: This range is based on Boston-area data, and is subject to modification based on geographic location.

Equal Opportunity Employer/Disabled/Veterans

According to the FTC, there has been a rise in employment offer scams. Our current job openings are listed on our website and applications are received only through our website. We do not ask or require downloads of any applications, or “apps” job offers are not extended over text messages or social media platforms. We do not ask individuals to purchase equipment for or prior to employment.

Apply Now

Refine Your Search

cpma jobs in remote

Outpatient Clinical Documentation Specialist

Consultant - Healthcare Compliance Auditor - HTS

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SME - Medicaid Program Integrity and Claims Audits

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Multi-Specialty Professional Coder - Hospitalist Primary

Director, Post Pay Audit

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Denials Management Team Lead - Hospital Billing (HB)

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