Supervisor, Risk Adjustment

CarePlus Health Plans Inc

Remote
Base: $71,100 - $97,800 py; bonus/equity: eligible...
Remote
Medical record audits
Icd-10 diagnosis codes
Cms and government agency submissions
CarePlus Health Plans Inc. is seeking a Supervisor for Risk Adjustment to conduct quality assurance audits on medical records and ICD-9/10 codes. This remote position requires a candidate with experience in medical records, coding knowledge, and supervisory skills

Job Summary

  • The Supervisor, Risk Adjustment conducts quality assurance audits of medical records and ICD-9/10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) and other government agencies.
  • You will ensure coding is accurate and properly supported by clinical documentation within the health record and follow state and federal regulations as well as internal policies and guidelines.
  • Humana offers a variety of benefits to promote the best health and well-being of our employees and their families, including health benefits effective day 1, paid time off, and a 401(k) retirement savings plan with employer match.

Matching Summary

Match Score: 85

CarePlus Health Plans Inc. is seeking a Supervisor for Risk Adjustment to conduct quality assurance audits on medical records and ICD-9/10 codes. This remote position requires a candidate with experience in medical records, coding knowledge, and supervisory skills.

Salary

Base: $71,100 - $97,800 per year; Bonus/Equity: Eligible for bonus incentive plan; Benefits: Health benefits effective day 1, PTO, 401(k) with match, tuition assistance, etc.

Skills & Requirements

Must-have

  • Medical record audits
  • ICD-10 diagnosis codes
  • CMS and government agency submissions
  • Clinical documentation support
  • Provider education programs

Nice-to-have

  • Independent judgment
  • Collaboration with professionals
  • Financial and operational concepts

Key Requirements

  • 1+ years of experience with training, mentoring, or coaching
  • Experience with medical records
  • Experience with EMR/EHR systems
  • Strong knowledge of ICD-10 coding
  • Proficiency in Microsoft Office Programs
  • 1+ years of supervisory experience (preferred)
  • CPC Certification (preferred)

Work Rights

Not specified

Tailored Resume

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