HCC Risk Adjustment Quality Auditor

2 hours, 33 minutes ago
Full-time
Mid Level
Operations
UASI Solutions

UASI Solutions

UASI Solutions is a top provider of revenue cycle solutions for healthcare facilities, offering coding services and Health Information Management solutions with a focus on accuracy and efficiency.

Diversified Financial Services
251-1K
Founded 1984

Description

  • Perform quality reviews of internal and subcontracted outpatient CDI staff work using risk adjustment and HCC expertise.
  • Use audit tools to analyze quality results and track overall performance trends.
  • Assess chart reviews for missed documentation and query opportunities that affect RAF scores and outcomes.
  • Review documentation to ensure MEAT requirements are supported and identify documentation gaps.
  • Prepare and deliver training on HCC documentation requirements for different client audiences.
  • Provide coaching and education to staff based on audit findings.
  • Identify recurring trends and lead training to improve HCC capture and quality.
  • Partner with leadership to identify performance needs and create targeted training to improve results.

Requirements

  • 2-5 years of experience in HCC auditing, outpatient CDI, risk adjustment, or related healthcare documentation roles.
  • Active RN or LPN license required.
  • CCDS, CCDS-o, CDIP, CDEO, and/or CRC certification strongly preferred.
  • Experience with Epic workflows, including OurPractice Advisories/OPAs.
  • Strong understanding of ICD-10 coding guidelines and HCC documentation and coding requirements.
  • Excellent communication, critical thinking, and organizational skills.
  • Comfortable using MS Office, email, VPNs, virtual machines, two-factor authentication, and video conferencing tools such as MS Teams and Zoom.

Benefits

  • Fully remote work arrangement.
  • Full benefits package.
  • PTO.
  • Top pay.
  • Collaborative, mission-driven team environment.
  • Opportunities for continuous learning, education, and professional growth.
  • Leadership that values your expertise and input.

Interested in this position?

Apply directly on the company website

Apply Now

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