Job description

Certified Risk Adjustment Coding Specialist - REMOTE

Shift: Monday to Friday, 8 am to 5 pm Eastern

Status: Full time

Location: Remote position

Incentives: 1st Day Benefits

Pay Range: Minimum $22.29 Maximum $33.43

We are seeking an experienced and customer focused Certified Risk Adjustment Coding Specialist to join our Trinity Health PACE team.

This remote position will work 8 am to 5 pm Eastern time. Computer equipment for position will be provided.

NOTE: Training for the position will take place in person in Philadelphia, PA for two consecutive weeks (expenses paid). Occasional travel to the corporate office in Livonia, MI or other PACE locations may also be required.

The Program of All-Inclusive Care for the Elderly (PACE®) model is centered on the belief that it is better for the well-being of seniors with chronic care needs and their families to be served in the community whenever possible. We encourage fellowship and independence while serving seniors and their families with dignity and respect.

What we offer:

· Warm and supportive environment with a truly patient-centered focus

· Competitive salary and benefit package, including 1st Day Benefit coverage and Daily Pay

· Career paths and professional development

· Learn the industry's best, easy-to-use, advanced technology

· Ability to earn incentives through our Employee Referral program

What you will do:

· Per standard process reviews and evaluates participant medical records to identify diagnoses and procedures and accurately assigns and sequences ICD and CPT codes. Abstracts and validates information. Seeks out validating i formation (queries physicians, clinicians) when provided information is inadequate, ambiguous or unclear for coding purposes

· Responsible for documentation spot checks and audit responses. Responds/corrects audit feedback.

· Assures that accurate, complete client care documentation is completed timely, in preparation for billing (RAPS, charge tickets, etc.). Validates RAPS submission files.

· Ensures staff are aware of and respond to alerts/queries/questions by computer, voice mail and other means. Provides feedback to clinicians and others that support completion of plans within site timelines.

· Monitors and informs manager of records that are not completed timely. Monitors, investigates and takes appropriate action for records that are not coded, billed, or rejected.

· Keeps abreast of coding guidelines and reimbursement reporting requirements.

· Works with manager to identify, develop and implement strategies for quality improvement.

· Maintains participant confidentiality and abides by HIPAA guidelines. Assures site staff compliance with federal/state and accreditation regulations through record review, case conferencing and communication.

What you will need:

· High school diploma or equivalent required. 2 years of completed college coursework preferred.

· Must have one of the following certifications: Certified Outpatient Coder, Certified Coding Specialist, Certified Professional Coder thru AAPC or Registered Health Information Technologist or Registered Health Information Administrator thru AHIMA

· Must be certified or willing to obtain certification for Certified Risk Adjustment Coder thru AAPC within one year of hire.

· Two-years of experience in a risk adjustment coding environment required

· Demonstrates the ability to verify and validate HCCs.

· Demonstrates the knowledge and ability to work with providers on education and guidance.

· Demonstrates knowledge of medical terminology, human anatomy and physiology, and diseases processes.

· Must be action-oriented, manage conflict well, be customer focused, have high decision quality, flexibility to adapt to ongoing change and organizational agility.

· Demonstrates superior written, verbal and presentation skills appropriate for audience comprehension. Able to communicate effectively with individuals and groups representing diverse perspectives.

· Proficiency Microsoft product suite (MS Word, Excel, Power Point, etc.); basic knowledge and experience with email and calendaring system required.

· Excellent organizational and problem-solving skills as well as the ability to change, prioritize and be flexible with work priorities.

We have an energizing new vision and strategy. Join us and shape the future of healthcare!

Apply now!

Job Type: Full-time

Pay: $22.29 - $33.43 per hour

Benefits:

• Dental insurance
• Disability insurance
• Employee assistance program
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Tuition reimbursement
• Vision insurance
• Work from home

Schedule:

• Day shift
• Monday to Friday

Work Location: Remote

caravetterealestate.com is the go-to platform for job seekers looking for the best job postings from around the web. With a focus on quality, the platform guarantees that all job postings are from reliable sources and are up-to-date. It also offers a variety of tools to help users find the perfect job for them, such as searching by location and filtering by industry. Furthermore, caravetterealestate.com provides helpful resources like resume tips and career advice to give job seekers an edge in their search. With its commitment to quality and user-friendliness, caravetterealestate.com is the ideal place to find your next job.