Coding Specialist -Risk Adjustment chez EvergreenHealth
EvergreenHealth · Kirkland, États-Unis d'Amérique · Onsite
- Professional
- Bureau à Kirkland
Wage Range: $32.27 - $51.64 per hour
Posted wage ranges represent the entire range from minimum to maximum. For jobs with more than one level, the posted range reflects the minimum of the lowest level and the maximum of the highest level. Some positions also offer additional premiums based on shift, certifications or degrees. Job offers are determined based on a candidate's years of relevant experience, level of education and internal equity.
Job Summary:
Responsible for providing expertise in the area of quality and risk adjustment coding for physicians and other qualified health care providers. Coordinates and collaborates with operational and clinic leadership to assist in the identification of clinical best practices to ensure all diagnoses are captured in accordance with CMS Risk Adjustment coding guidelines.
Primary Duties:
- Assists providers in understanding the CMS Risk adjustment program as it relates to payment methodology and the importance of proper chart documentation of procedural and diagnosis coding.
- Audits provider documentation in the medical record to ensure adherence with CPT, HCPCS, ICD-10-CM coding and CMS Risk Adjustment guideline; provides thorough, timely, and accurate feedback to providers regarding documentation best practices.
- Evaluates HCC (Hierarchical Condition Category) auditing processes and provides analysis and recommendations to improve overall provider documentation and coding.
- Supports organizational strategic initiatives by routinely consulting medical providers to clarify missing or inadequate record information and to determine appropriate diagnostic and procedure codes are captured.
- Collaborates with clinicians, coders, and other key stakeholders to optimize education and application of HCC coding principles.
- Performs other duties as assigned.
License, Certification, Education or Experience:
REQUIRED for the position:
- CPC Certification
- 1 year coding experience
- Certified Risk Adjustment Coder (CRC) through the AAPC within one year of hire
- Experience with electronic medical record (EMR) system
- Knowledge of medical terminology
- Experience with HEDIS metrics
- Exceptional organizational skills and proven ability to effectively and proactively complete multiple projects simultaneously and meet deadlines
- Excellent communication, presentation and interpersonal skills. Must be able to communicate with individuals and groups representing all levels of the organization
- Strong attention to detail, accuracy and ability to work independently
DESIRED for the position:
- 2 years HCC coding experience for professional services for multiple specialties
Benefit Information:
Choices that care for you and your family
Choices that care for you and your family
At EvergreenHealth, we appreciate our employees’ commitment and contribution to our success. We are proud to offer a suite of quality benefits and resources that are comprehensive, flexible, and competitive to help our staff and their loved ones maintain and improve health and financial well-being.
- Medical, vision and dental insurance
- On-demand virtual health care
- Health Savings Account
- Flexible Spending Account
- Life and disability insurance
- Retirement plans 457(b) and 401(a) with employer contribution)
- Tuition assistance for undergraduate and graduate degrees
- Federal Public Service Loan Forgiveness program
- Paid Time Off/Vacation
- Extended Illness Bank/Sick Leave
- Paid holidays
- Voluntary hospital indemnity insurance
- Voluntary identity theft protection
- Voluntary legal insurance
- Pay in lieu of benefits premium program
- Free parking
- Commuter benefits
- Cafeteria & Gift Shop Discount
View a summary of our total rewards available to you as an EvergreenHealth team member by clicking on the link below.
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