Risk Adjustment Coder
Community Health Network
full-time
Posted on:
Location Type: Remote
Location: Florida • Illinois • United States
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About the role
- Perform patient chart reviews to ensure the appropriateness and completeness of diagnostic coding with evidence based on CMS HCC standards.
- Timely, accurate, and complete review of patient charts following patient encounters, utilizing a variety of technical platforms to complete workflows.
- Validating diagnosis codes representing patient conditions along with necessary MEAT documentation.
- Ensuring coding is consistent with guidelines from regulatory entities.
- Conducting audits to meet compliance with ACA standards.
- Creating post-visit queries with follow-up.
- Collaborating with CDI team members, particularly with clinical findings.
- Contributing to the provider education body of work, participating in pre-encounter reviews as needed.
Requirements
- High School diploma or GED is required.
- Associate degree is preferred.
- Three (3) or more years of experience in professional OUTPATIENT Risk Adjustment (HCC) coding is required.
- Three (3) or more years of experience in population health, VBC/ACO is preferred.
- Three (3) or more years of experience in OUTPATIENT Coding is preferred.
- Certification from AAPC, AHIMA or ACDIS required.
Benefits
- Exceptional care. Simply delivered.
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
diagnostic codingHCC codingMEAT documentationauditingpost-visit queriespatient chart reviewspopulation healthVBCACOOUTPATIENT coding
Soft Skills
collaborationcommunicationattention to detailtimelinessaccuracy
Certifications
AAPC certificationAHIMA certificationACDIS certification