At Aylo Health, we work together to enrich the health and well-being of every life we touch. Our mission is to make quality healthcare simple and convenient. Because healthy people can do amazing things!
We offer a work environment that values the creation of lifelong relationships, while also providing opportunities for growth and career development. We strive to care for each other with the same passion with which we care for our patients. Aylo Health offers competitive pay to team members who provide high-quality care, while delivering an exceptional patient experience.
Medical ICD CoderAt Aylo Health (formerly Eagles Landing Health), we work together to enrich the health and well-being of every life we touch. Our mission is to make quality healthcare simple and convenient. Because healthy people can do amazing things!
We offer a work environment that values the creation of lifelong relationships, while also providing opportunities for growth and career development. We strive to care for each other with the same passion with which we care for our patients. Aylo Health offers competitive pay to team members who provide high-quality care, while delivering an exceptional patient experience.
We are currently seeking a qualified candidate to work as a Medical Coder with experience in Risk Adjustment coding.
JOB SUMMARY: The HCC Coder performs prospective, concurrent and retrospective chart reviews for ICD-10-CM coding accuracy based on documentation and coding guidelines for HCC coding. This role is vital in providing subject matter expertise for Clinical Quality programs to ensure HCC condition codes are documented to the highest specificity.
ESSENTIAL FUNCTIONS:

• Reviews outpatient encounters in the electronic medical record for accuracy and appropriateness of provider documentation and ICD-10-CM and CPT Category II coding, to ensure compliance with state and federal guidelines.
• Maintains coding accuracy in assignment of ICD diagnosis coding including HCC codes, modifier application and verification of CPT and/or HCPCS codes.
• Maintains expected coding productivity.
• Works with Clinical Quality team to communicate provider coding accuracy concerns and challenges to System and Local Market leadership.
• Maintains competency and accuracy while remaining abreast of current requirements of the Center for Medicare and Medicaid Services (CMS) and ICD-10-CM guidelines.
• Ensure proper documentation is on file.
• Familiarity with AI software for chart reviews and coding specifications.
• Keeps abreast of and complies with coding guidelines and reporting requirements.
• Other duties as assigned.

This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Employees may be required to perform other job-related duties as required by their supervisor, subject to reasonable accommodation.QUALIFICATIONS REQUIRED:

• High School graduate or equivalent required.
• Coding Certification: CRC in good standing with AAPC is required.
• A minimum of 2-5 years of medical ICD & CPT coding experience, Family Practice or outpatient setting is preferred.
• Electronic Medical Record experience, eCW software highly preferred.
• Computer literate with entry level working knowledge of Microsoft Suites; Outlook, Excel, Word.
• Demonstrated ability to organize, coordinate, prioritize, and facilitate many on-going tasks at one time.
• Duties require professional verbal and written communication skills.
• Requires strong clinical experience and knowledge.
• Excellent time management skills.
• Ability to work independently or with a team.
• Professional appearance.
• Problem solving skills.
• Positive attitude.

BENEFITS:

• Medical insurance with prescription drug coverage
• Dental insurance
• Vision insurance
• Company-paid child care
• Company-paid basic life insurance
• 401(k) with company match
• Dependent Care Flexible Spending Account
• Healthcare Flexible Spending Account
• Paid time off

Aylo Health is an Equal Opportunity Employer