Job Description
Job Description
Position Summary: The Documentation & Coding department audits provide documentation and codes for accuracy and educate them on coding best practices. The Project Coordinator supports the Documentation and Coding department.
Approved States for hiring: AL, AZ, CO, CT, FL, GA, IN, IA, KS, LA, ME, MD, MA, MN, MS, MT, NC, NE, NV, NH, NJ, NM, ND, NY, OK, PA, SC, SD, TN, TX, UT, VA, WV, WA, WY
Duties & Responsibilities:
- Assists with Clinical Documentation and coding initiatives
- Preparing and gathering information and documents on selected members for CMS Risk Adjustment Audits.
- Coordinates project audit assignments with colleagues
- Ensures medical records are requested, accounted for, scanned (by the mailroom), accurate/completed, and saved in the appropriate Healthfirst system
- Uploading medical records received as assigned to other teams using the web-based audit tool
- Coordinates timely execution of regulatory audits, projects, and initiatives
- Additional duties as assigned