Care Coordination_Certified Coder

CORE JOB RESPONSIBILITIES

• Conduct retrospective, prospective, and concurrent Risk Adjustment audits.

• Drives industry best practices and performance on driving key KPIs (#visits, RAF score, AWV completion rates, Coding accuracy chart reviews, HCC recapture)

• Collaborate with the Care Coordination Coding team to identify and enhance opportunities for improving risk adjustment coding, provider coding accuracy, and tracking of risk score trends

• Identify HCC and Quality education and training opportunities for providers to ensure compliant documentation, based on audit results.

• Assist provider engagement and operations teams to maximize efficiency for provider conducted risk and quality visits.

• Produce weekly status reports.

• Retrieve electronic records and obtain records from external sources.

• Perform general administrative tasks

EDUCATIONAL AND SKILLS PREFERRED

• Coding Certification through AHIM or AAPC (at least one below):

o Certified Professional Coder (CPC), Certified Risk Coder (CRC), Certified Coding Specialist for Providers (CCS-P), or Registered Health Information Management Technician (RHIT)

• High School Diploma or GED equivalence

• Proficiency in Excel, Word, PowerPoint, and Outlook, and in general file folder organization/usage

• EMR Knowledge/experience a plus

• Able to read, write legibly, and speak in English with professional quality

POSITION REQUIREMENTS

• Strong knowledge of the healthcare industry special programs, including:

o HEDIS, Quality Measures, P4

o Risk Adjustment and HCC

• Responsible, diligent and attention to detail characteristics

• Strong organizational skills.

• Able to manage multiple assignments effectively.

• Capable of working independently and completing tasks with minimal supervision.

• Able to relate and communicate positively, effectively, and professionally with others.

• Previous experience in customer service with excellent communication abilities preferred.

• work calmly and respond courteously when under pressure.

• Able to think critically

• Proactive attitude, able to anticipate and meet team needs.

Job Type: Full-time

Pay: From $22.00 per hour

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Work Location: In person