Supports delegated Risk Adjustment and Coding Compliance programs through specialized audit support, documentation review, and medical record analysis. Ensures accurate HCC capture and regulatory compliance in accordance with CMS and other health plan requirements.
LSMA Management Inc
2 Remote Job Openings at LSMA Management Inc
The Internal Audit Management LVN supports the oversight and monitoring of delegated functions of contracted medical groups to ensure regulatory, accreditation, and health plan compliance. This role assists with audit preparation, internal reviews, corrective action follow-up, reporting governance, letter accuracy, and process standardization.