Value-Based Coding Specialist

3 weeks ago


Bakersfield, California, United States AppleOne Full time
About the Role

We are seeking a skilled Value-Based Coding Specialist to join our team at AppleOne.

Job Summary

The successful candidate will play a crucial role in optimizing our healthcare delivery system by identifying opportunities for improved quality and risk adjustment coding performance. This position involves working closely with providers and office staff to ensure accurate reimbursement and enhance patient care.

Key Responsibilities:
  • Review patient medical records to identify, assess, and monitor coding opportunities for risk adjustment.
  • Ensure accurate and timely capture of diagnosis codes for chronic and major medical conditions.
  • Educate providers on clinical documentation best practices to support risk adjustment coding.
  • Develop educational materials and tools to improve provider documentation and Hierarchical Condition Category (HCC) coding.
  • Participate in network performance improvement initiatives.
  • Maintain confidentiality of patient health information.
Requirements:
  • Certified Professional Coder (CPC) or Certified Risk Coder (CRC) certification.
  • Advanced knowledge of CPT and ICD-10 coding.
  • 2-3 years of experience in outpatient coding preferred.
  • Familiarity with CMS HCC Risk Adjustment coding and data validation requirements.
Estimated Salary Range:

$25-$36 per hour, depending on location and experience.

Benefits:
  • Competitive compensation package.
  • Comprehensive health benefits.
  • Paid time off.
  • Professional development opportunities.
About AppleOne

AppleOne is a leading workforce management company dedicated to connecting great companies with outstanding talent. Our mission is to provide exceptional service and support to our clients and candidates. We value diversity, equity, and inclusion in all aspects of our business and strive to create a positive work environment for all employees.



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