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The Jacobson Group · 15 hours ago

Auditor

The Jacobson Group is focused on providing risk adjustment services for Medicare and Medicare Advantage initiatives. They are seeking an Auditor to validate diagnosis codes and ensure coding accuracy through high-volume chart reviews using the Innovaccer platform.

AssociationFinancial ServicesInformation Technology
Hiring Manager
Karrie Ruch
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Responsibilities

Audit information pulled by the Innovaccer tool and validate diagnosis codes for accuracy and specificity
Review supporting medical documentation and make final determinations prior to provider review
Perform high-volume reviews with expected daily productivity of 50–80 charts
Focus exclusively on Medicare and Medicare Advantage (MA) populations
Utilize coding and EMR systems including 3M, Epic, Athena, and Cerner
Ensure coding accuracy and compliance with risk adjustment and outpatient coding guidelines

Qualification

Risk Adjustment & HCC CodingMedicare & Medicare Advantage CodingOutpatient Diagnosis CodingEMR Navigation EpicEMR Navigation AthenaEMR Navigation CernerCoding Validation & ComplianceChart Review & Documentation AuditsAttention to Detail

Required

Minimum of 1 year of experience in risk adjustment coding, HCC coding, or outpatient diagnosis coding
Ability to consistently meet daily production expectations of 50–80 reviews
Active coding certification required (one of the following): CPC, CRC, CPMA, CDEO, CCS, CCS-P, RHIA, RHIT, or CCDS
Strong attention to detail and documentation review skills
Experience working with Medicare and/or Medicare Advantage data

Benefits

Medical insurance
Dental insurance
Vision insurance
401(k) retirement savings plan

Company

The Jacobson Group

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The Jacobson Group is the leading provider of talent to the insurance industry.

Funding

Current Stage
Growth Stage

Leadership Team

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Corey Pinkham
Chief Executive Officer
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Company data provided by crunchbase