Clinical Coding Documentation Improvement

Description IntroductionLast year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a(an) Coding Documentation Improvement Specialist with Virginia Quality Care Partners you can be a part of an organization that is devoted to giving back!BenefitsVirginia Quality Care Partners, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include : Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.Free counseling services and resources for emotional, physical and financial wellbeing401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)Employee Stock Purchase Plan with 10% off HCA Healthcare stockFamily support through fertility and family building benefits with Progyny and adoption assistance.Referral services for child, elder and pet care, home and auto repair, event planning and moreConsumer discounts through Abenity and Consumer DiscountsRetirement readiness, rollover assistance services and preferred banking partnershipsEducation assistance (tuition, student loan, certification support, dependent scholarships)Colleague recognition programTime Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.Learn more about Employee BenefitsNote : Eligibility for benefits may vary by location.Would you like to unlock your potential with a leading healthcare provider dedicated to the growth and development of our colleagues? Join the Virginia Quality Care Partners family! We will give you the tools and resources you need to succeed in our organization. We are looking for an enthusiastic Coding Documentation Improvement Specialist to help us reach our goals. Unlock your potential!Job Summary and QualificationsThe Clinical Coding and Documentation Improvement Specialist (Quality Improvement / Medicare Risk Adjustment) will monitor and audit medical record documentation, coding and quality measures in the practice offices. You will utilize your knowledge of ICD-9 / ICD-10, CPT, and documentation guidelines, along with clinical skills and practice management knowledge to assist in any and all coding and documentation audits and / or billing functions as determined by the Operations, and / or Quality department(s) while ensuring that all quality measures are completed annually for the patient populations for both Managed Care and Medicare Follow most recent documentation and coding guidelines Use only pre-approved source documents as validation for recommendationsQueries providers on specificity of coding answering any questions and clarifies allTrain physicians, physician assistants and employees for MRA coding opportunitiesEnsure that codes assigned meet medical necessity requirements by Medicare and other carriersCreate and assist with the maintenance of Chronic Condition Lists for all PCPsAssist with working the missing condition reports from all carriersAssist with all quality measures initiatives, working with the PCP offices in capturing the data to support the variablesMaintain a database with the results of all medical chart reviews performedAssist with the analysis and action planning in response to findings of the utilization practices in the officeAssist in the care coordination duties in specific patient populations and work with Case Management to procure services for those identified patientsAssist in teaching any office staff and / or providers in proper documentation and coding guidelines Report any issues to Quality, Compliance and Operations as necessary.Responsive to anyone who has questions regarding this area of expertise.Perform all other coding and documentation reviews and / or projects as asked and assists / coordinates strategies as defined by the department head or assistant.What qualifications you will need :

• High school diploma or equivalent
• Minimum of 2 years coding experience
• Experience with the MRA reimbursement structure is required
• The American Academy of professional Coders (AAPC) Certified Professional Coder (CPC) certification
• Prefer candidate to have some clinical background Virginia Care Partners is an innovative, physician-led network collaborating to change the way healthcare is delivered in the Richmond and Tri-cities area. Network members include primary care and specialty physicians and the nationally recognized HCA Virginia facilities. Measurable quality care; patient, physician and staff satisfaction; and efficient, coordinated care with the patient at the center of care are goals of the network. Network physicians, who want to meet the demands of an industry that is moving from fee for service to fee for value, are committed to improving care delivery that enhances the health and lives of our patients. We are an office environment, provide telephonic patient care and work with practice staff so there are no beds in the office. HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses."There is so much good to do in the world and so many different ways to do it."- Dr. Thomas Frist, Sr.HCA Healthcare Co-Founder Be a part of an organization that invests in you! We are reviewing applications for our Coding Documentation Improvement Specialist opening. Qualified candidates will be contacted for interviews. Submit your application and help us raise the bar in patient care!We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.