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Your Role
The ACA Chart Program team conducts the following functions (1) identify medical records with unreported diagnosis codes, (2) retrieve those medical charts, (3) perform medical coding to convert them into risk adjustable diagnosis codes, and (4) submit to CMS via the EDGE pathway .
The Risk Adjustment, Consultant will report to the Senior Manager . In this role you will manage day to day operations of the chart program, conduct risk adjustment analytics to identify drivers and interact with vendor to ensure adherence to key performance indicators.
Your Work
In this role, you will :
Provide heads-ups to leadership when roadblocks appear
Your Knowledge and Experience
Pay Range :
The pay range for this role is : $ 118800.00 to $ 178200.00 for California.
Note :
Please note that this range represents the pay range for this and many other positions at Blue Shield that fall into this pay grade.
Last updated : 2024-05-09
Full Time
Insurance
$118k-154k (estimate)
05/10/2024
05/31/2024
tempral.com
San Francisco, CA
<25
Insurance