Risk Adjustment Coding Specialist

Johns Hopkins Health Plans is a leader in provider-sponsored health plans. If you are interested in improving how healthcare is delivered, and have a passion to be at the forefront of change, JHHP is the place to call home. YOU belong here.
What awaits you:

• Work-life balance - This is a remote role!
• Medical, Dental, and Vision Insurance.
• 403B Savings Plan w/employer contribution.
• Paid Time off & Paid holidays.
• Employee and Dependent Tuition assistance benefits.
• Health and wellness programs and MORE!

Who you are:
A Certified Professional Coder specializing in all things Risk Adjustment coding. You have an expert understanding of coding regulations related to ICD-10 coding and HCCs. You are the Johns Hopkins Health Plans (JHHP) expert on coding questions and take pride in coding outpatient records proficiently and accurately
What you'll do:

• You are responsible for reviewing a member's medical records and assigning the appropriate diagnoses codes
• You are responsible for complying with CMS guidance, official coding guidelines, and organizational policies and procedures
• You are the functional expert on coding questions
• Your coding measure of success will have a quality accuracy of 95%

What you'll bring:

• AAPC and/or AHIMA Certification is required (i.e. CPC, CCS, etc.)
• 3+ years' ICD-10 coding experience with demonstrated analytical skills.
  • Experience with Medicare (Risk Adjustment) regulations
  • EPIC experience is highly preferred
  • Requires a comprehensive and expert understanding of coding regulations related to ICD-10 coding.
    • Capable of advance problem solving in coding.
    • Must be familiar with reimbursement methodologies - hierarchical condition category (HCC) and guidelines.
    • Comprehensive knowledge and compliance of HIPAA rules and regulations in the dissemination of patient Protected Health Information (PHI).
    • Excellent written and oral communication skills with the ability to communicate effectively with clinic staff, providers, bill staff, management and administration
    • High School Diploma or GED
    
    Who we are:
    Johns Hopkins Health Plans (JHHP) is the managed care and health services business of Johns Hopkins Medicine. JHHP is a $3B business serving over 500,000 active members with lines of business in Medicaid, Medicare, commercial, military health, health solutions, and venture investments. JHHP is a leader in provider-sponsored health plans and is poised for future growth.
    Many organizations talk about transforming the future of healthcare, at Johns Hopkins Health Plans, we are setting the pace for change within the healthcare industry. We develop innovative, analytics-driven health programs in collaboration with provider partners to drive improved quality and better health outcomes for our members and the communities we serve. If you are interested in improving how healthcare is delivered, and have a passion to be at the forefront of change, JHHP is the place to call home.
    Johns Hopkins Health System and its affiliates are drug-free workplace employers.
    Johns Hopkins Health System and its affiliates are an Equal Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law.