Coding Specialist Risk Adjustment
Found in: Lensa US P 2 C2 - 2 weeks ago
Location:
Location:
** Coding Specialist Risk Adjustment - CPC
at AdventHealth**
**Date Posted:** 1/19/2022
**Location:**
**Job Description**
Description
**Risk Adjustment Coding Specialist - CPC | AdventHealth Corporate**
**Location Address: 101 Southhall Lane, Maitland, FL 32751**
**Top Reasons to Work at AdventHealth Corporate**
* Great benefits
* Day 1 Health Insurance Coverage
* Career growth and advancement potential
**Work Hours/Shift:**
* Full-Time, Monday
Friday
**You Will Be Responsible For:**
* Review and assess documentation and accurately translates chronic conditions into the appropriate diagnosis code from inpatient and outpatient medical records
* Extracts data for Health Plan reports
* Inputs data collected from HCC programs
* Coordinates audits of Provider coding data
* Responsible for scheduling of audits
* Sends Provider the list for chart reviews and provides follow-up communication
* Assists in obtaining medical records from Providers to support audits requested by Health Plans
* Assists in coordinating Physician and staff training sessions
Qualifications
**What You Will Need:**
Education and Experience Required:
* Minimum of three years of healthcare experience
* Minimum of 3 years experience in HCC coding
Licensure, Certification or Registration Required:
* CPC (Certified Professional Coder)
Knowledge and Skills Required:
* High level of interpersonal and communication skills necessary to establish rapport with physicians and other healthcare providers.
* Basic MS Office (Word, Outlook, Excel and PowerPoint) knowledge
* Ability to perform the following: Faxing, scanning, record storage, archiving records for storage
**Job Summary:**
The Medicare Risk Adjustment Coding Specialist coordinates and supports retrospective and concurrent chart reviews in addition to education and chart retrieval for Health Plan audits and reports. Uses knowledge of Hierarchical Condition Categories (HCC) coding to translate, input, extract and validate medical record data.
This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.
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