Individual & Family Plans (ifp) Quality Review & Audit Senior Supervisor - Remote - Cigna Healthcare

Cigna Healthcare

United States Work At Home, United States
Base: 70,100 - 116,800 usd / yearly; bonus/equity:...
Risk adjustment medical record reviews
Icd-10-cm diagnosis coding
Cms risk adjustment program guidelines
Leads team of certified coding professionals to accurately perform Risk Adjustment medical record reviews and audits, assigning appropriate ICD-10-CM diagnosis codes, and meeting workflow and compliance requirements

Job Summary

  • Leads team of certified coding professionals to accurately perform Risk Adjustment medical record reviews and audits, assigning appropriate ICD-10-CM diagnosis codes, and meeting workflow and compliance requirements.
  • Monitors team quality, accuracy, and daily productivity standards, providing counseling and mentoring as required.
  • The Cigna Group offers a comprehensive range of benefits, with a focus on supporting your whole health, including medical, vision, dental, well-being programs, 401(k), and paid time off.

Matching Summary

Leads team of certified coding professionals to accurately perform Risk Adjustment medical record reviews and audits, assigning appropriate ICD-10-CM diagnosis codes, and meeting workflow and compliance requirements.

Salary

Base: 70,100 - 116,800 USD / yearly; Bonus/Equity: Annual bonus plan eligible; Benefits: Medical, vision, dental, well-being, 401(k), life insurance, tuition reimbursement, 18+ days PTO, paid holidays

Skills & Requirements

Must-have

  • Risk Adjustment medical record reviews
  • ICD-10-CM diagnosis coding
  • CMS Risk Adjustment program guidelines
  • coding application workflows
  • process improvement identification

Nice-to-have

  • detail-oriented
  • self-motivated
  • excellent organizational skills
  • professional oral and written communication

Key Requirements

  • 5+ years coding experience
  • AHIMA or AAPC certification
  • CPC, CCS-P, CCS-H, RHIT, RHIA, or CRC certification
  • Proficiency with ICD-10-CM
  • Ability to lead a team

Work Rights

Not specified

Tailored Resume

Cover Letter