Risk Adjustment Coder
2 weeks ago
Location:
Erickson Senior Living
Join our team as a Certified Risk Adjustment Coder & Educator. You'll review medical records, validate diagnosis codes, conduct provider audits, analyze coding patterns, and provide education and training to ensure accurate reimbursement and improve care quality.
Compensation: $55,000.00 - $78,000.00 per year, commensurate with experience
What we offer
- A culture of diversity, inclusion, equity and belonging, which builds on our mission, vision and values
- Medical, dental and vision packages, including an annual reimbursement for qualified wellness expenses, personal health coaching and telemedicine options
- PTO Plans, PLUS company paid volunteer hours for eligible team members, in accordance with applicable state law
- 401k for all team members 18 and over with a company 3% match
- Onsite medical centers, providing wellness visits and sick care for all team members over 18 years of age
- 30% discount on food and drinks at on-site dining venues, plus additional healthy choice meal options at discounted prices
- Growth Opportunities – grow with the company as we open new communities and expand on our existing ones
How you will make an impact
- Serve as the subject matter expert for proper risk adjustment coding.
- Perform medical record audits for quality assurance and accuracy of ICD-10 code assignment
- Analyze data to detect patterns and develops/implements action plans to address identified concerns
- Develop educational material and provide oversight, guidance, and training to clinicians related to CMS guidelines and HCC best practices.
- Conduct training through the use of web sessions and/or in-person meetings at the provider’s location of employment.
- Use, protect, and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards.
- Provide technical assistance to the Claims Billing Office (CBO) staff and respond to inquiries from providers in the field who need coding assistance.
What you will need
- Minimum of 5 years of experience in a hospital or physician setting as a medical coder required
- Minimum 3 years hands-on coding experience in the Risk Adjustment environment
- Experience in teaching, training, or another instructor role preferred
Please note that specific state regulations and requirements may be applicable. These regulations take precedence over the requirements outlined in the job description.
Headquartered in Baltimore, Maryland, Erickson Senior Living is one of the country’s largest and most respected providers of senior living and health care with a growing, national network of communities. We help people live better lives by fulfilling our promises of a vibrant lifestyle, financial stability, and focused health and well-being services for those who live and work with us. As part of our team, you'll enjoy flexibility and work-life balance to meet your personal and professional goals, and we are committed to providing you with opportunities to learn and grow.
Erickson Senior Living, its affiliates, and managed communities are Equal Opportunity Employers and are committed to providing a workplace free of unlawful discrimination and harassment on the basis of race, color, religion, sex, age, national origin, marital status, veteran status, mental or physical disability, sexual orientation, gender identity or expression, genetic information or any other category protected by federal, state or local law.
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