Risk Adjustment Coding Coordinator

Dallas TX

26 November, 2021

12:42 PM

Description

REQUIRED SKILLS AND EXPERIENCE: • CRC or CPC certification • 1+ years of ICD10 coding experience • Preferred 1-2 years’ experience in a physician’s office. • Medical Assistant, Licensed Vocational Nurse, or equivalent clinical work experience. High school graduate. Some college education preferred in the allied health professional field of study. • Medical/clinical background highly desirable • Knowledge of CMS HCC Model and Guidelines along with ICD 10 Guidelines • Excellent written/verbal communication skills, especially the ability to communicate telephonically in a professional and effective manner • Experience in EHR preferred • Passionate about your work and move forward with purpose; demonstrate clear value and support of your Provider Groups and internal teams • Approach problem solving that involves systems thinking – understanding how the process works and how people are impacted by your decisions • Strong communication skills – understanding the need for being inclusive for effective results; communicate effectively with both day to day operational resources and executive management. • Understand sense of urgency and fast-paced; strong organizational skills • Experience with basic Microsoft Office Applications ACCOUNTABILITIES: • Have the mind for logistics and the heart for teaching when working with our highly engaged physician offices. You’ll have a positive and direct impact on the success of our network. • Educate our physicians on Standards of Ethical Coding regarding HCC/Risk Adjustment. • Work closely with physicians and payers to ensure all suspect conditions are addressed with adequate and clear medical coding requirements. • Participate in regular team meetings and educational sessions. ADDITIONAL JOB DETAILS: The Risk Adjustment Coding Coordinator will help our communities thrive by performing comprehensive medical chart reviews for the diagnosis code assignment and accuracy of HCC codes in various Managed Medicare products (e.g. Medicare Shared Savings Plan, Medicare Advantage) for an assigned Provider Network partnering with the Accountable Care Organization (ACO). We are a culture that is unabashedly driven by purpose. We are making a difference to our patients and providers while growing at an accelerated rate. Every day, we support the health journey of patients by authentically living our core values: Purpose Driven, Relationships Matter, Serve Others First, and Inspire Creativity. If you love serving others and would like to make a material difference in an industry-transforming organization, then we invite you to apply to this role. https://relode.co/AAT9AYE