The Risk Adjustment Coding Coordinator will assist our neighborhoods grow by carrying out detailed medical chart evaluations for the medical diagnosis code project and precision of HCC codes in numerous Managed Medicare items (e.g. Medicare Shared Savings Plan, Medicare Advantage) for an appointed Provider Network partnering with the Accountable Care Organization (ACO). We are a culture that is unabashedly driven by function. We are making a distinction to our clients and service providers while growing at a sped up rate.
Every day, we support the health journey of clients by authentically living our core worths: Purpose Driven, Relationships Matter, Serve Others First, and Inspire Creativity. If you enjoy serving others and want to make a product distinction in an industry-transforming company, then we welcome you to use to this function. We are acknowledged as one of the Top 100 Places to Work by The Dallas Morning News, and we have actually been granted as one of the fastest-growing independently held business by SMU Cox.
Accountabilities
- Have the mind for logistics and the heart for mentor when dealing with our extremely engaged doctor workplaces. You’ll have a favorable and direct influence on the success of our network.
- Educate our doctors on Standards of Ethical Coding relating to HCC/Risk Adjustment.
- Work carefully with doctors and payers to guarantee all suspect conditions are resolved with appropriate and clear medical coding requirements.
- Participate in routine group conferences and instructional sessions.
Role and Responsibilities:
- Medical chart evaluation to determine threat modification codes utilizing CMS-HCC method and ICD-10 CM coding standards
- Review reassessed and suspect danger modification codes for precision and supply proof, suggestions, and particular documents requirements required for codes
- Prep service provider charts with code suggestions and quality spaces in care.
- Complete all service provider chart examines within designated timeframes
- Support and take part in procedure and quality enhancement efforts
- Identify chances for enhanced procedures and Provider Group involvement in recognized ACO Managed Care programs.
Minimum Qualifications and Requirements:
- Preferred CRC or CPC accreditation
- 1 years of ICD10 coding experience
- High school graduate. Some college education chosen in the allied health expert discipline.
- Medical/clinical background extremely preferable
- Knowledge of CMS HCC Model and Guidelines in addition to ICD 10 Guidelines
- Excellent written/verbal interaction abilities, specifically the capability to interact telephonically in an expert and reliable way
- Experience in EHR chosen
- Passionate about your work and move on with function; show clear worth and assistance of your Provider Groups and internal groups
- Approach issue resolving that includes systems believing– comprehending how the procedure works and how individuals are affected by your choices
- Strong interaction abilities– comprehending the requirement for being inclusive for reliable outcomes; interact efficiently with both daily functional resources and executive management.
- Understand sense of seriousness and busy; strong organizational abilities
- Experience with fundamental Microsoft Office Applications
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StratiFi Health LLC.
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