RN Clinical Coder-Nurse Auditor

As a Clinical Validation Auditor (Nurse Coder) you will independently review cases, ensuring accurate ICD-10-CM risk adjusted coding and clinical documentation. CVA/Nurse Auditors will stay abreast of current changes to the Risk Adjustment field and continue education to maintain high level proficiency.

Responsibilities

• Independently reviews cases, ensuring accurate ICD-10-CM risk-adjusted coding and clinical documentation.
• Responsible for performing second reviews of QI work as assigned.

• Stays abreast of current changes to the Risk Adjustment field.
• Continues education to maintain high level of proficiency in Risk Adjustment field.
• Maintains RN and CRC certifications.
• Performs research as needed to determine whether codes are appropriate.
• Maintains individual 95% IRR score.
• Maintains required productivity.
• Executes other responsibilities per business needs.

Requirements

• Must have minimum of 3 years of clinical experience as a Registered Nurse (RN)
• Certified Risk Adjustment Coder (CRC) Certification preferred
• Bachelor’s Degree or equivalent combination of education and experience
• At least 1 year of Risk Adjustment coding experience
• Working knowledge of ICD-10 CM guidelines and appropriate clinical documentation.
• Experience reviewing clinical cases.
• High level of expertise in navigating EMRs.
• Proficient in Microsoft Office.

Benefits

VATICA HEALTH ADVANTAGES

• Every single person at Vatica Health is working to fight the good fight every single day. What we do matters, a lot. If you are looking for a job that has real meaning and you’d like to work with people who care deeply about what they do, we’ve got that.
• We work hard (see point above), but we don’t forget to have fun. “I want a job that is dull,” said no one ever.
• We believe in fostering a culture of servant leadership – command and control is so 1990s. We look for brilliant people that are great at what they do because they love what they are doing.
• We know that teams are exponentially more successful than the sum of their individuals. Our teams value what each member brings to the table and also values continuous improvement of each team member as well as the whole team.
• We love learning. And we love working with people who love learning. Our industry changes every single day; stagnation is not an option.

Prosperity

• Competitive salary based on your experience and skills – We believe the top talent deserves the top dollar
• Bonus Potential (based on role and is discretionary) – If you go above and beyond, you should be rewarded
• 401k match– We want to empower you to prepare for your future
• Room for growth and advancement- We love our employees and want to develop within

Good Health

• Comprehensive Medical, Dental, and Vision insurance plans
• Tax-free Dependent Care Account and Flexible Spending Account
• Life insurance, short-term, and long-term disability

Happiness

• 4 weeks of PTO (Everyone deserves a vacation now and then)
• M-F work week (No working weekends, overnights, on call shifts, or holidays) We believe family comes first!
• Reimbursement for RN license and Continuing Education Credits
• Strong supportive teams- There is always a helping hand when you need it!

The salary for a position is typically determined by multiple factors such as the individual's qualifications, experience, skills, and location. The projected compensation range for the position may vary based on these factors and could range from $60,000 to $85,000 (annualized USD). However, this estimate represents just one aspect of our total compensation package offered.

Are you up to the challenge? What are you waiting for? Apply today!