1+ months

Coder - Risk Adjustment - (108075)

Universal Health Services
Reno, NV 89501
  • Job Code
    108075

Job Summary:

The Coder of Risk Adjustment will be responsible for accurate coding and documentation which is imperative to support proper reimbursement from Medicare while ensuring organizational compliance. The Coder will perform production coding and coding auditing as well as medical record abstraction in support of the Healthcare Effectiveness Data and Information Set (HEDIS) data collection. The ideal candidate will be well grounded in sound medical coding practices, with experience working in the CMS Medicare Advantage and/or HHS Commercial risk adjustment model. Knowledge of HEDIS data collection is required.

Job Requirements

Regulatory Requirements:

High school education or GED. Associate's degree preferred.

Coding certification (CCS or CPC through AHIMA/AAPC)

ICD-10 coding proficiency

3-5 years experience in CMS HCC risk adjustment coding

2+ years experience in a managed care setting

RHIT and CRC certification preferred.

Language Skills:

  • Ability to effectively communicate in English, both verbally and in writing.

Skills:

Proficient in Microsoft Office Suite Word, Excel and Access

Excellent written and oral communication skills

Attention to the detail.

Billing experience is a plus.

Comfortable working in a department with set productivity and coding accuracy standards

Experience with NCQA HEDIS programs preferred.

Experience working in health care and health insurance industry. Knowledge of HEDIS data collection is preferred.

Categories

Posted: 2019-11-07 Expires: 2020-03-19

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Coder - Risk Adjustment - (108075)

Universal Health Services
Reno, NV 89501

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