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HCC Coding Specialist

2 months ago

Tampa, Florida, United States USF Health Full time
Position Overview:

The HCC Coding Specialist plays a crucial role in ensuring the accuracy and quality of coding practices within the USF Health organization. This position is responsible for conducting comprehensive audits of clinical documentation and coding practices to uphold the highest standards of compliance and accuracy.

Key Responsibilities:

• Conduct thorough audits of both retrospective and concurrent medical provider documentation, ensuring adherence to Medicare guidelines.

• Evaluate clinical documentation to accurately assign and audit diagnosis codes.

• Identify opportunities for documentation enhancement and effectively communicate findings to healthcare providers and staff.

• Maintain professionalism and ethical standards while interacting with colleagues across the organization.

• Uphold integrity by adhering to stringent personal and professional conduct standards.

• Follow the Standards of Ethical Coding as established by the American Health Information Management Association and comply with official coding guidelines.

• Demonstrate knowledge of HIPAA regulations, ensuring a commitment to the privacy, security, and confidentiality of all medical documentation.

• Exhibit reliability and maintain confidentiality in all job-related activities.

Qualifications:
  • Possession of CPC, COC, CCA, CCS, CRC, RHIA, or RHIT credentials.
  • A minimum of two years of coding and auditing experience, including at least one year of HCC Coding experience.
  • Advanced understanding of ICD-10-CM and working knowledge of CPT and HCPCS coding systems.
  • Active coding certification required through either AHIMA or AAPC, with CRC preferred.
  • Comprehensive knowledge of CMS guidelines related to risk adjustment and proficiency in HCC coding.