What are the responsibilities and job description for the Risk Adjustment Coding & Documentation Specialist position at Sentara?
SMG Administration is now hiring a Full-Time HYBRID Risk Adjustment Coding & Documentation Specialist in Hampton Roads, VA!
Hybrid work model employed – office space available with expectation 1-2 days/week in office; initial onboarding & training will be in-office.
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.
Candidate should be geographically located within Hampton Roads to be able to visit practice sites within the area.
Qualifications:
- Associate degree required in healthcare administration, nursing, health information management, accounting, finance, or other related field with 2 years of medical coding experience.
- In lieu of associate's degree, 4 years of medical coding experience required.
- Must have thorough knowledge and understanding of ICD-10-CM Official Coding Guidelines and AHA Coding Clinics.
- One-year previous experience with paper and/or electronic medical records required.
- 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. 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 CMS and/or HHS Risk Adjustment Data Validation (RADV) experience.
Benefits: Sentara offers an attractive array of full-time benefits to include Medical, Dental, Vision, Paid Time Off, Sick, Tuition Reimbursement, a 401k/403B, 401a, Performance Plus Bonus, Career Advancement Opportunities, Work Perks, and more.
Our success is supported by a family-friendly culture that encourages community involvement and creates unlimited opportunities for development and growth.
Be a part of an excellent healthcare organization that cares about our People, Quality, Patient Safety, Service, and Integrity. Join a team that has a mission to improve health every day and a vision to be the healthcare choice of the communities that we serve!
Keywords: Coding, Risk Adjustment, CRC, CPC, COC, CCS-P, CCS, RHIT, RHIA, Monster, Talroo-Allied Health
Salary : $1,000 - $1,000,000
