Certified Risk Adjustment Coding Specialist

6 days ago


Livonia, Michigan, United States Trinity Health Full time
Job Title: Certified Risk Adjustment Coding Specialist

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.
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.
Benefits:
  • 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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