HCC Coding Specialist

1 day ago


Houston, Texas, United States LaSalle Network Full time

Job Summary:

We are seeking a skilled HCC Coding Specialist to join our team at LaSalle Network. As a key member of our healthcare revenue cycle team, you will be responsible for accurately coding patient diagnoses using ICD-10 and mapping them to Hierarchical Condition Categories (HCC). Your role will support risk adjustment and reimbursement processes, ensuring compliance with industry standards and regulations.

Key Responsibilities:

  • Review and analyze patient medical records to assign appropriate ICD-10 codes
  • Map diagnoses to Hierarchical Condition Categories (HCC) to facilitate accurate risk adjustment
  • Ensure adherence to coding guidelines, industry standards and regulatory requirements
  • Collaborate with healthcare providers and clinical staff to obtain necessary documentation and resolve coding issues
  • Conduct regular audits to ensure coding accuracy and completeness
  • Stay current with updates to coding standards, guidelines and regulations
  • Provide coding expertise and support to team members as needed

Requirements:

  • 1+ year of recent HCC coding experience post-apprenticeship
  • Certification as a Professional Coder (CPC), Certified Coding Specialist (CCS) or equivalent preferred
  • Proficiency in ICD-10 coding, HCC categories and risk adjustment models
  • Strong attention to detail, excellent analytical abilities and effective communication skills
  • Capable of working independently and collaboratively within a team environment


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