Job Information
AdventHealth Coding Specialist Risk Adjustment in Altamonte Springs, Florida
Coding Specialist Risk Adjustment
All the benefits and perks you need for you and your family:
· Benefits from Day One
· Career Development
· Whole Person Wellbeing Resources
· Mental Health Resources and Support
Our promise to you:
Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.
Shift : Monday-Friday
Job Location : Virtual
The role you’ll contribute:
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.
The value you’ll bring to the team:
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
The expertise and experiences you’ll need to succeed:
EDUCATION AND EXPERIENCE REQUIRED :
Minimum of three years of healthcare experience
Minimum of 3 years’ experience in HCC coding
CPC (Certified Professional Coder)
EDUCATION AND EXPERIENCE PREFERRED:
Prior risk adjustment and medical record review experience
Strong ambulatory background with a focus on diagnostic coding
Experience with Medicare risk adjustment, Hierarchical Condition Categories (HCC), coding, billing, auditing and various healthcare payers
This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances. The salary range reflects the anticipated base pay range for this position. Individual compensation is determined based on skills, experience and other relevant factors within this pay range. The minimums and maximums for each position may vary based on geographical location.
Category: Health Information Management
Organization: Well65 Schedule: Full-time
Shift: 1 - Day
Req ID: 24017169
We are an equal opportunity employer and do not tolerate discrimination based on race, color, creed, religion, national origin, sex, marital status, age or disability/handicap with respect to recruitment, selection, placement, promotion, wages, benefits and other terms and conditions of employment.
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