Coder 2-Risk Adjustment
Company: Loma Linda University Health
Location: Loma Linda
Posted on: March 8, 2023
|
|
|
Job Description:
Managed Care- (Full Time, Day Shift) -
Our mission is to participate in Jesus Christ's ministry, bringing
health, healing, and wholeness to humanity by: Creating a
supportive faculty practice framework that allows Loma Linda
University School of Medicine physicians and surgeons to educate,
conduct research, and deliver quality health care with optimum
efficiency, deploying a motivated and competent workforce trained
in customer service and whole person care principles and providing
safe, seamless and satisfying health care encounters for patients
while upholding the highest standards of fiscal integrity and
clinical ethics. Our core values are compassion, integrity,
humility, excellence, justice, teamwork and wholeness.
The Coder 2- Risk Adjustment is responsible for concurrent,
prospective, and retrospective clinical documentation review as it
pertains to Risk Adjustment Data Validation (RADV) timelines, with
an emphasis on completeness and accuracy of provider documentation
related to severity of illness and supporting clinical care plan(s)
for the validation of Hierarchical Condition Category (HCC)
diagnoses. Initiates communication, verbal and written, with
providers to facilitate clarification of need for greater
specificity, clinical support, and/or completeness of the progress
notes. Provides compliant education related to documentation
integrity, completeness, and consistency. Keeps providers up to
date on CMS, ICD-10-CM, AHA Coding, health plan etc. guidelines as
it pertains to Risk Adjustment for the purpose of, documentation
trends and opportunities for improvement related to documentation
integrity. Performs other duties as needed.
Bachelor's degree in Health Information Management or other
clinical/healthcare degree required; however, an equivalent
combination of education and experience that provides proficiency
in the areas of responsibility, may be substituted for the stated
education and experience requirements.5+ years overall combined
clinical/medical experience with at least 2+ year of Risk
Adjustment coding specific experience or Clinical Documentation
Improvement/Specialist equivalent. Certified Risk Adjustment Coder
(CRC) required; and Certified Clinical Documentation Specialist
(CCDS) preferred or equivalent.
Comprehensive understanding of the contents of a typical electronic
medical record, medical terminology, abbreviations, ICD-10-CM
coding conventions. Expertise in CMS Risk Adjustment Data
Validation (RADV) for Medicare Advantage Plans, and medical coding,
including but not limited to E/M, ICD-10, CPT, and HCC coding
preferred. Able to keyboard 40 wpm. Able to read; write legibly;
speak in English with professional quality; use computer, printer
and software programs necessary to the position;
operate/troubleshoot basic office equipment require for the
position. Able to relate and communicate positively, effectively,
and professionally with others; be assertive and consistent in
following or enforcing policies; work calmly and respond
courteously when under pressure; collaborate; and accept direction.
Able to communicate effectively in English in person, in writing,
and on the telephone; think critically; work independently with
minimal supervision; performs basic math functions; manage multiple
assignments effectively; work well under pressure; problem solve;
organize and prioritize workload; recall information with accuracy;
pay close attention to detail. Able to distinguish colors as
necessary; hear sufficiently for general conversation in person and
on the telephone; identify and distinguish various sounds
associated with the workplace; see adequately to read computer
screens, medical records, and written documents necessary to
position.
Additional Information
Compensation
US Dollar (USD)
29.36
US Dollar (USD)
41.49
Keywords: Loma Linda University Health, Fontana , Coder 2-Risk Adjustment, Other , Loma Linda, California
|
Click
here to apply!
|
