ACE Chart Reviewer

The Accurate Coding and Education (ACE) Chart Reviewer is responsible for performing thorough chart reviews for our participating Primary Care Physician Practices to inform providers of potential inferred, embedded and/or missing diagnoses not previously identified and to aid in the education and discovery of opportunities for improved documentation and coding. The ACE Chart Reviewer will be responsible for educating others on appropriate documentation based on chart review findings. The ACE Chart Reviewer is a licensed Registered Nurse, Nurse Practitioner or Certified Physician Assistant (PA-C) in the state of Pennsylvania, with knowledge of documentation and coding requirements and guidelines.

Location

West Conshohocken, PA

Education & Experience

  • Bachelor’s Degree in Nursing or PA certification required (5 or more years of additional experience beyond the required years of experience may be substituted in lieu of a bachelor’s degree);
  • Current, active, and unrestricted Pennsylvania (PA) Registered Nurse, Nurse Practitioner or Physician Assistant licensure;
  • 5 years of General Clinical experience required with two years’ clinical chart or claims review experience, with strong attention to detail;
  • Knowledge of CMS Medicare Risk Adjustment Model;
  • Knowledge of health plan and regulatory requirements, coupled with strong technical skills including computer and software skills such as Microsoft Word, Excel, and Outlook;
  • One (1) year of EMR and chart abstraction tools.
  • Ability to travel at least 50% within the six-county (Bucks, Montgomery, Delaware, Chester,  and Philadelphia) region, & must have active/valid PA driver’s license.
  • Additional Chart Review Experience preferred.
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