Coder - Risk Adjustment Specialist

4 weeks ago


Reno, Nevada, United States Universal Health Services Full time
About the Role

The Coder - Risk Adjustment position plays a critical role in ensuring accurate post-review coding and documentation to support proper reimbursement from Medicare while maintaining organizational compliance.

This role involves performing post-review production coding as well as medical record abstraction in support of the Healthcare Effectiveness Data and Information Set (HEDIS) data collection.

Responsibilities
  • Accurately code medical records to support proper reimbursement from Medicare
  • Perform post-review production coding and medical record abstraction
  • Support HEDIS data collection and ensure compliance with organizational standards
  • Collaborate with cross-functional teams to ensure accurate and timely coding
Requirements
  • High School Diploma, GED or equivalent required
  • Minimum one (1) year experience in CMS HCC risk adjustment coding preferred
  • Successful completion of coding certification program (CCS, CPC, CRC, or RHIT through AHIMA/AAPC)
  • ICD-10 coding proficiency and ability to meet 95% and above accuracy
  • Excellent written and oral communication skills
  • Proficient in Microsoft Office Suite, Word, Excel and Access
About Universal Health Services

Universal Health Services, Inc. (UHS) is one of the nation's largest and most respected providers of hospital and healthcare services. With a commitment to transforming healthcare delivery, UHS operates acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points across the U.S., Washington, D.C., Puerto Rico and the United Kingdom.

As a valued member of the UHS team, you will have access to a range of benefits, including competitive compensation, generous paid time off, excellent medical, dental, vision and prescription drug plans, and opportunities for career development and growth.



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