Risk Adjustment Coder

**Risk Adjustment Coder**

Requisition ID: 161305

Department: 500618 Risk Adjustment

Facility: Hometown Health Management

Schedule: Full Time

Shift: Day

Category: Clerical & Administrative Support

Location: Reno,NV

Position Overview Benefits This position reviews and analyzes health records to identify relevant diagnoses and procedures for distinct patient encounters covering a wide variety of clinical cases and services for risk adjustment models.This position is responsible for translating diagnostic phrases utilized by healthcare providers into coded form.

The incumbent must have the skill sets to:

Select correct ICD code assignment by proficient analysis and translation of diagnostic statements, physicians orders, and other pertinent documentation.

Critically evaluate valid encounters, including face-to-face, legibility and valid signature, per Medicare, Commercial and Federal and State requirements

Maintain and grow the current knowledge of the Medicare and CommercialRisk Adjustmentoutpatient/inpatient billing systems/processes

Facilitate and obtain appropriate physician documentation for any clinical conditions or procedures to support the appropriate severity of illness

Stay current on all changes in coding conventions and coding updates

Conduct prospective and retrospective member reviews to close care gaps

Adhere to the coding guidelines

Work both in a team and individual environment with minimum supervision and is confident working with a wide variety of healthcare professionals

Consistently meet or exceed productivity and quality standards

The Incumbent must have a thorough understanding of the content of the medical record in order to be able to locate information to support or provide specificity for coding. The coder must be trained in the anatomy and physiology of the human body and disease processes in order to understand the etiology, pathology, symptoms, signs, diagnostic studies, treatment modalities, and prognosis of diseases and procedures to be coded.

This position does notprovide patient care.

**Minimum Qualifications**

Requirements Required and/or Preferred **Name**

**Description**

Education:

Must have working-level knowledge of the English language, including reading, writing and speaking English.Bachelor Degree in Health Information Management preferred.

Experience:

A minimum of one (1) year of previous coding experience required.

Computer / Typing:

Must possess,the computer skills necessary to complete online learning requirements for job-specific competencies, access online forms and policies, complete online benefits enrollment, etc.Also, must have a working knowledge of Microsoft Office products.

Benefits **Location:** Reno , NV This position reviews and analyzes health records to identify relevant diagnoses and procedures for distinct patient encounters covering a wide variety of clinical cases and services for risk adjustment models.This position is responsible for translating diagnostic phrases utilized by healthcare providers into coded form.

The incumbent must have the skill sets to:

Select correct ICD code assignment by proficient analysis and translation of diagnostic statements, physicians orders, and other pertinent documentation.

Critically evaluate valid encounters, including face-to-face, legibility and valid signature, per Medicare, Commercial and Federal and State requirements

Maintain and grow the current knowledge of the Medicare and CommercialRisk Adjustmentoutpatient/inpatient billing systems/processes

Facilitate and obtain appropriate physician documentation for any clinical conditions or procedures to support the appropriate severity of illness

Stay current on all changes in coding conventions and coding updates

Conduct prospective and retrospective member reviews to close care gaps

Adhere to the coding guidelines

Work both in a team and individual environment with minimum supervision and is confident working with a wide variety of healthcare professionals

Consistently meet or exceed productivity and quality standards

The Incumbent must have a thorough understanding of the content of the medical record in order to be able to locate information to support or provide specificity for coding. The coder must be trained in the anatomy and physiology of the human body and disease processes in order to understand the etiology, pathology, symptoms, signs, diagnostic studies, treatment modalities, and prognosis of diseases and procedures to be coded.

This position does notprovide patient care.

**Minimum Qualifications**

Requirements Required and/or Preferred **Name**

**Description**

Education:

Must have working-level knowledge of the English language, including reading, writing and speaking English.Bachelor Degree in Health Information Management preferred.

Experience:

A minimum of one (1) year of previous coding experience required.

Computer / Typing:

Must possess,the computer skills necessary to complete online learning requirements for job-specific competencies, access online forms and policies, complete online benefits enrollment, etc.Also, must have a working knowledge of Microsoft Office products.