Medical Chart Review Specialist

2 weeks ago


Cleveland, Queensland, Australia beBeeRiskAdjustment Full time $90,312 - $117,142
Medical Chart Review Specialist Role

Seeking a detail-oriented Medical Chart Review Specialist to perform chart retrieval, medical record review and data quality oversight.

  • Oversee the chart review lifecycle from scheduling access to submission of files to CMS.
  • Determine the accuracy and correctness of medical documentation in relation to risk adjustment.
  • Develop policies, procedures and operational workflows to support department processes concerning risk adjustment, risk mitigation and RADV activities.
Required Skills and Qualifications:
  • Associate degree or equivalent experience with knowledge of CPT coding, ICD-9/10, medical terminology and HCC coding.
  • Five years' experience in leadership, medical chart reviews, risk adjustment with in-depth knowledge of Microsoft Office and software for electronic processing of medical records.
Skills and Qualifications:
  • Ability to obtain Certified Risk Adjustment Certification (CRC) from the American Academy of Professional Coders (AAPC).
  • Up-to-date knowledge on risk adjustment HCC processing concerning ICD-9/10 coding guidelines.


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