Durham, North Carolina
Reno, Nevada
Beaumont, Texas
Decatur, Illinois, Illinois
Braselton, Georgia
Morristown, New Jersey
Wyoming, Michigan, Michigan
Posted: 28-Jan-25
Location: Altamonte Springs, Florida
Categories:
Internal Number: 25000325
Coding Specialist Risk Adjustment - AdventHealth
All the benefits and perks you need for you and your family:
- Benefits from Day One
- Paid Days Off 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.
Schedule: Full-time
Shift: Monday-Friday 9-6pm
Location: 900 Hope Way, Altamonte Springs, 32714
The role you’ll contribute:
The Risk Adjustment Coding Specialist performs post-visit validation of the ICDs assigned for all significant chronic conditions. This role is responsible for the proper identification of respective ICD-10-CM codes to ensure the accuracy of billing for addressed diagnoses, in addition to education support for the Coding and Documentation Educator.
The value you’ll bring to the team:
- Identify and code Hierarchical Condition Categories (HCC) based on the documented conditions to ensure proper risk adjustment accuracy.
- Assist with concurrent chart review process and perform physician queries for coding and documentation clarification following the query policy and procedure standards.
- Meet and maintain productivity and accuracy metrics and standards, as defined.
- Assign appropriate ICD-10- codes to document and accurately represent the patient’s conditions and ensure compliance with coding guidelines and regulations.
- Work closely with healthcare providers, physicians, and other coding professionals to clarify documentation and ensure coding reflects the severity of illnesses and chronic conditions.
The expertise and experiences you’ll need to succeed:
Minimum qualifications:
- Minimum of three years of healthcare experience
- Minimum of 3 years’ experience in HCC coding
- Experience with Medicare risk adjustment, Hierarchical Condition Categories (HCC), coding, billing, auditing and various healthcare payers.
- CPC, CCS (Certified Professional Coder), or CRC
Preferred qualifications:
- CRC
- Prior medical record review experience
- Strong ambulatory background with a focus on diagnostic coding
