Risk Adjustment Coder

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Description

City/State Virginia Beach, VA Work Shift First (Days) Overview: Overview Performs compliance activities focused on risk adjustment in accordance with Centers for Medicare & Medicaid Services (CMS) and U.S.

Department of Health & Human Services (HHS).

Performs prospective/retrospective medical record reviews (MMR) & CMS/HHS Risk Adjustment Data Validation (RADV) audits.

Reviews provider coding for professional & inpatient/outpatient services to ensure capture of diagnostic conditions supported w…

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