What are the responsibilities and job description for the Risk Adjustment Coder position at Sentara?
City/State
Virginia Beach, VAWork Shift
First (Days)Overview:
Sentara Health is seeking to hire a qualified individual to join our team as Risk Adjustment Coder.
Position Status: Full-time, Day Shift
Position Location: Hybrid work model - 1 day week on-site in Virginia Beach; initial onboarding & training will be in-office
Standard Working Hours: 8:00AM to 5:00PM
Overview
This role consists of educating primary & specialty care providers and staff on appropriate HCC coding & documentation, via virtual sessions and in-person site visits. Duties include retrospective auditing to ensure compliance with appropriate HCC coding & documentation guidelines.
Education
Associate degree required in healthcare administration, nursing, health information management, accounting, finance, or other related field
or
Iin lieu of associate's degree, 4 years of medical coding experience is required
Certification/Licensure
One of the following certifications are required: Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Inpatient Coder (CIC), Certified Coding Specialist-Physician-based (CCS-P), Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT), or Registered Health Information Administrator (RHIA)
Must obtain Certified Risk Adjustment Coder (CRC) certification within two years of employment
Experience
Two-years of coding experience required
One-year previous experience with paper and/or electronic medical records required
Must have thorough knowledge and understanding of ICD-10-CM Official Coding Guidelines and AHA Coding Clinics
Prefer one-year experience with risk adjustment program in a Health Plan or Provider setting (i.e. physician office or hospital)
Prefer previous experience with CMS, HHS and/or CDPS RX Hierarchical Condition Categories (HCC) models.
Prefer previous experience with CMS, HHS and/or CDPS RX Hierarchical Condition Categories (HCC) models.
*Legal Resources Plan
*Colleagues have the opportunity to earn an annual discretionary bonus ifestablished system and employee eligibility criteria is met.
Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.
In support of our mission "to improve health every day," this is a tobacco-free environment.
For positions that are available as remote work, Sentara Health employs associates in the following states:
Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.
Salary : $5,250
