Risk Adjustment Coder
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Job Description
Risk Adjustment Coder at Community Health Network performing patient chart reviews for diagnostic coding. Ensuring compliance with CMS HCC standards and collaborating with clinical teams.
Responsibilities:
- 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.
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