The 30-second read

Performs prospective/retrospective medical record reviews and CMS/HHS RADV audits ensuring compliance with risk adjustment guidelines.

Key requirements

•RADV audit experience
•CMS/HHS compliance
•Medical record review
•Inpatient/outpatient services
•Risk adjustment knowledge

Coders with RADV audit and compliance audit background.

Full posting

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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