Risk Adjustment HCC Coding Support Specialist at Evolent Health in Boise, Idaho, United States Job Description Your Future Evolves Here Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones. Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity and inclusion are core to our business. Join Evolent for the mission. Stay for the culture. What You'll Be Doing: The Risk Adjustment HCC Coding Support Specialist at Evolent will be an intricate part of the Risk Adjustment coding team. Coding for MSSP, MA and Commercial patients using the CMS HCC crosswalks, this coder will perform a comprehensive review of each progress note to ensure the clinical documentation in supports the ICD-10 codes assigned to the claim to the highest level of documented specificity. Compliance with the ICD-10-CM Official Coding Guidelines and coding conventions as well as CMS Risk Adjustment Data Validation (RADV) documentation guidelines is applied daily. Collaboration Opportunities : This position serves as a technical point of contact for the mentioned functional areas and collaborates with leaders and providers as needed. This position may require communicating with the provider to obtain higher specificity for the accuracy of code assignment. Clinical knowledge and high-level analytical skills are utilized in the review of each progress note to confirm clinical documentation support and appropriate ICD-10-CM code assignment for the accuracy of risk score calculations. What You Will Be Doing: As a Risk Adjustment HCC Coding Support Specialist, you will perform a comprehensive review of progress notes to ensure that the clinical documentation supports the ICD-10 codes assigned to the claim to the highest level of specificity. Compliance with the ICD-10-CM Official Coding Guidelines and coding conventions as well as CMS Risk Adjustment Data Validation (RADV) documentation guidelines is applied to all reviews. The focus of this position is to confirm accuracy and specificity of ICD-10 diagnoses assigned to the claim are i To view full details and how to apply, please login or create a Job Seeker account