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OP CDI Auditor
Overview
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Credentials: CPC/CRC (or CCS/CRC) and CDEO or CCDS-O would be helpful.
Job Description: Audit of estimated review encounters for up to 260 patients to evaluate the alignment of documentation and coding for all diagnoses and hierarchical condition categories (CMS-HCCs). Requires Outpatient CDI experience to review primary care office visits and assess the completeness and accuracy of risk scores and CMS acceptance of conditions by evaluating HCC diagnosis captured and missed suspect diagnosis opportunities.
The projected hours are 190 hours spanning over 8 weeks. It would require an estimated 4-5 consecutive days of audits and performance tracking over the contract.
EHR Systems: eClinicalWorks, Athena, Picasso, and paper charts
Other Software: Excel, Outlook, Word
Equipment: Norwood Laptop provided
Facility Type: Clinic MSSP disability population; Primary Care Office Visits
Knowledge Requirements: Ambulatory CDI, Risk Adjustment (CMS-HCC)
Population: Adult
Onboarding Nuances: Multiple clinics + EMRs (eClinicalWorks, Athena, Picasso, Acquire, and paper chart)
Location: Remote,
Type: Contract
Pay: Apply for details
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