Certified Risk Adjustment Coding Specialist
6 days ago
Trinity Health is seeking a highly skilled Certified Risk Adjustment Coding Specialist to join our team. As a key member of our healthcare team, you will be responsible for assigning ICD/CPT codes to participant health information for data retrieval, analysis, and claims processing.
Key Responsibilities:- Evaluate medical records to identify diagnoses and procedures and accurately assign and sequence ICD and CPT codes.
- Abstract and validate information, seeking out validating information as needed.
- Conduct documentation spot checks and respond to audit feedback.
- Ensure timely, accurate client care documentation for billing.
- Monitor and inform manager of records that are not completed timely.
- Stay updated on coding guidelines and reimbursement requirements.
- High school diploma or equivalent required.
- 2 years of completed college coursework preferred.
- Must have one of the following certifications: Certified Outpatient Coder, Certified Coding Specialist, Certified Professional Coder thru AAPC or Registered Health Information Technologist or Registered Health Information Administrator thru AHIMA.
- Must be certified or obtaining certification for Certified Risk Adjustment Coder thru AAPC. If not obtaining, must obtain within one year if hired.
- Two-years of experience in a risk adjustment coding environment required.
- Comprehensive benefit including 1st Day medical coverage, dental, vision, paid time off, 403B and educational assistance.
- Access to daily pay and employee referral incentives.
- Supportive environment with a patient-centered focus.
- Opportunities for professional development.
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