1 nera jobs found in Des Moines, IA

Departmental Preferences: Certification in risk adjustment coding (CRC) Prior experience in medical record auditing (CMS, RADV, Part C IPM) Medicare risk adjustment experience  Clinical knowledge/experience a plus   The Clinical Documentation Improvement Reviewer performs concurrent medical record reviews to ensure that all conditions reported by the provider reflect the severity of illness of the patient.  This position is responsible for the validation of diagnosis codes in CDI alert and the identification of missing diagnosis so that patient severity of illness is properly reflected in the medical record. Conducts an extensive analysis of patient records to evaluate documentation of HCC diagnoses. Obtains and promotes appropriate clinical documentation through extensive interaction with physicians (via queries) to ensure that the documentation of HCC codes is accurate. Reviews medical records to ensure that diagnoses are reported in accordance with...