Job description
Risk Adjustment Coder II needed for a permanent opportunity with Yoh’s client located in Sacramento, CA!Top Skills Should You Possess:
- Experience with medical & HCC coding
- Provide support and coding expertise to all programs that support risk adjustment and data validation efforts for Medicare, Commercial and PPO lines of business
- Provide analytics, education, in-person trainings in provider offices, and serve as the subject matter expert for all HCC coding initiatives, policies and procedures that adhere to our organizations coding guidelines and compliance standards
- Identify and implement Annual Wellness Visit resources that best meet practice needs
- Coordinate Annual Wellness Visit/quality resources, monitor performance of interventions, and manage the process through completion
- Prospective reviews of current conditions and suspect conditions.
- Prepare AWV charts for provider’s upcoming AWVs to include HCC recapture and suspect Dx codes
- Pull Open Care Gap reports, current lab and medication history
- Work with practice staff to pull available specialist chart notes for HCC conditions that need to be recaptured
- Concurrent review/real time education support and feedback during patient face-to-face visit to ensure coding and documentation accurately captures patient health status
- Billing education/review to ensure all codes are captured on claim, including quality care gaps
- Monitor and track practice performance in the areas of HCC Recapture, Suspect Capture, RAF and Quality
- Risk adjustment data validation to ensure accurate code submission
- Develop HCC education materials for practices, panel meetings, new physician orientation, provider SMT and internal departments
- Position requires travel in and around Sacramento County
- AAPC/AHIMA Coding Certification / Medical Coding
- Bachelor’s degree preferred plus two years’ experience in a healthcare setting
- 2 years HCC coding and auditing (chart review) experience
- Proven history of project management and/or coordinating detailed projects or activities
- Proficient in Microsoft Excel, Word and PowerPoint
- Meeting facilitation
- Epic EMR experience preferred
- Ability to work independently and problem solve
- Ability to clearly communicate, both verbally and in written format
- Driver’s license and proof of auto insurance
- Travel to physician practices and regional offices will be required on a weekly basis. With few exceptions, travel will be limited to the San Francisco Bay Area.
What are you waiting for? Apply Now!
Recruiter: Jennifer Andersen
Yoh makes finding and applying for jobs simple. Partner with Yoh to find the right opportunities across multiple industries in the US and UK. Find out more here!
Yoh, a Day & Zimmermann company, is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
Visit https://www.yoh.com/applicants-with-disabilities [1]to contact us if you are an individual with a disability and require accommodation in the application process.
Links:
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[1] https://www.yoh.com/applicants-with-disabilities
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