Coding Compliance SpecialistVirtualVocations • Santa Ana, California, United States
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Coding Compliance Specialist
VirtualVocations • Santa Ana, California, United States
[job_card.variable_days_ago]
[job_preview.job_type]
- [job_card.full_time]
[job_card.job_description]
A company is looking for a Coding Compliance Specialist responsible for overseeing and evaluating Risk Adjustment Data Validation medical record review work.
Key Responsibilities
Ensure adherence to CMS RADV payment and risk adjustment policies
Provide expert guidance on coding and documentation standards
Review escalated Medicare RADV medical record cases and resolve complex issues
Required Qualifications
RADV experience required
Minimum 5 years of supervisory experience in medical record review, preferably RADV
Proven expertise in reviewing escalated Medicare RADV medical record cases
Medical Coding Certification from an accredited entity (e.g., AAPC, AHIMA)
Advanced knowledge of coding systems and compliance regulations
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