Address
Form of workAdventHealth Corporate
All the benefits and perks you need for you and your family:
Benefits from Day One
Career Development
Whole Person Wellbeing Resources
Mental Health Resources and Support
Our promise to you:
Joining AdventHealth is about being part of something bigger. It's about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.
Shift: Monday-Friday
Job Location: Remote
The role you'll contribute:
The Medicare Risk AdjustmentCoding Specialist coordinates and supports retrospective and concurrent chart reviews in addition to education and chart retrieval for Health Plan audits and reports. Uses knowledge of Hierarchical Condition Categories (HCC) coding to translate, input, extract and validate medical record data.
The value that you bring to the team:
Review and assess documentation and accurately translates chronic conditions into the appropriate diagnosis code from inpatient and outpatient medical records
Extracts data for Health Plan reports
Inputs data collected from HCC programs
Coordinates audits of Provider coding data
Responsible for scheduling of audits
Sends Provider the list for chart reviews and provides follow-up communication
Assists in obtaining medical records from Providers to support audits requested by Health Plans
Assists in coordinating Physician and staff training sessions
The expertise and experiences you'll need to succeed:
Minimum of three years of healthcare experience
Minimum of 3 years' experience in HCC coding
CPC (Certified Professional Coder)
Preferred qualifications:
Regulatory background and Risk Adjustment/ Hierarchical Condition Categories (HCC) knowledge
Prior Risk Adjustment and medical record review experience
Strong ambulatory background with a focus on diagnostic coding
Experience with Medicare Risk Adjustment, Hierarchical Condition Categories (HCC), coding, billing, auditing and various healthcare payers
