Quality Review and Audit Analyst - Cigna Healthcare - Remote
Summary
Reviews medical records to ensure accurate diagnosis coding and compliance with guidelines, identifying trends and suggesting process improvements in healthcare data quality for Cigna’s IFP division.
The Risk Adjustment Quality & Review Analyst in IFP brings medical coding and Hierarchical Condition Category expertise to the role, evaluates complex medical conditions, determines compliance of medical documentation, identifies trends, and suggests improvements in data and processes for Continuous Quality Improvement (CQI). Duties & Responsibilities Conduct medical records reviews with accurate diagnosis code abstraction in accordance with Official Coding Guidelines and Conventions, Cigna IFP…