Risk Adjustment Coding Specialist
4 weeks ago
We are seeking a highly skilled Risk Adjustment Coding Specialist to join our team at VNS Health. As a key member of our Medicare Risk Adjustment team, you will play a critical role in ensuring the accuracy and compliance of our coding practices.
Key Responsibilities- Conduct thorough coding reviews of provider documentation to assign accurate ICD-10 codes and ensure compliance with CMS guidelines.
- Complete monthly internal data validation of sampled Risk Adjustment diagnoses submitted by external stakeholders.
- Responsible for ensuring completion of medical record reviews based on monthly targets set forth by the department.
- Stay up-to-date on new coding and billing guidelines, federal and state initiatives, and educate other departments on new/changes to regulations.
- Perform medical record compliance audits using the most up-to-date CMS guidelines and submit output to CMS to accurately capture member's acuity.
- Active Certified Coder Certification through AHIMA or AAPC preferred.
- Minimum three years of payor work experience with medical records, including ICD-10-CM or current coding system and medical record systems required.
- Strong knowledge of medical terminology, provider reimbursement, ICD-10, HCPCS, and CPT-4 coding, coordination of benefits required.
- Ability to handle multiple priorities and meet deadlines required.
- Knowledge of HIPAA, understanding a commitment to Privacy, Security, and Confidentiality of all medical chart documentation required.
VNS Health is a recognized leader and innovator in patient-centered and community-focused health care. We are committed to revolutionizing health care in the home and community. Join us in making a meaningful impact on lives, including yours.
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Risk Adjustment Coding Specialist
4 weeks ago
New York, New York, United States VNS Health Full timeAbout the RoleVNS Health is seeking a highly skilled Risk Adjustment Coding Specialist to join our team. As a key member of our Medicare Risk Adjustment team, you will play a critical role in ensuring the accuracy and compliance of our coding practices.Key ResponsibilitiesConduct thorough coding reviews of provider documentation to assign accurate ICD-10...
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