Senior Hcc Coder

Description

Join Elica's mission and become a part of a team where every day is an opportunity to make a positive impact in your community!

At Elica Health Centers, we share a common goal: provide the best possible patient care to our growing community! Our passion extends throughout Elica, from the exceptional healthcare services we provide to our underserved patients at our Community Health Clinics and state-of-the-art mobile medicine program, Health on Wheels, to our Resource Center where we empower patients and members of the community to connect with resources to help them build healthy and full lives.

WHAT YOU'LL DO:

As the  Senior HCC Coder you will be responsible for all internal Medicare projects and programs involving department or cross-functional teams of subject matter experts, delivering products through the design process to completion. The  Senior HCC Coderr will work in collaboration with other business leaders, and clinical leadership, within and outside of Elica, to develop and implement comprehensive strategies to manage and drive improvement in end-to-end clinical documentation process, from on-boarding to claims submission and reporting.

BENEFITS:

Elica is proud to offer an exciting benefits package to qualifying full-time employees which can support your health, your family, and help you plan for the future.

• 403B retirement savings account with up to 4% employer matching contribution and 100% immediate vesting.
• Healthcare: Medical (Kaiser or Western Health Advantage Options), Dental, Vision - Individual and family plans available
• Company funded Health Reimbursement Arrangement (HRA) to help pay for out-of-pocket costs related to medical coverage
• FSA Plans: 2 options for Flexible Spending Accounts - Health Care FSA and Dependent Care FSA
• Company paid basic Life and AD&D Insurance. (supplemental life and AD&D options available)
• Optional Critical Illness, Accident, ID Theft Protection and Pet insurance potions
• Accrued paid time off and paid holidays.
• Employee Assistance Plan with five (5) free counseling visits, financial services, legal services, and a plethora of online resources.
• Tuition Reimbursement program and CME/CEU program.

Learn more about Elica's services and mission at our website or check us out on Facebook.

Compensation Dependant Upon Experience -

$36.98 - 48.08 per hr.

Requirements

WHAT ARE WE LOOKING FOR?

The successful candidate will be willing and able to:

• Manage all risk adjustment activities, including developing process flows, establishing, tracking, and meeting deadlines, managing vendor execution within contract requirements, coordinating all submission and reconciliation with internal and external stakeholders.
• Create work plans and timelines for projects, providing relevant training and delegation of new projects as needed to achieve team goals.
• Manage Medicare and Dual-Eligible member rosters to ensure accurate PCP assignment and identify AWV and gaps in care needs.
• Model and trend RAF and risk adjusted revenue and utilization costs by PMPM by plan and line of business to determine and make recommendations on overall revenue cycle impacts on an at least quarterly basis.
• Is accountable for work performed by self and work assigned to other departmental staff, works to develop and maintain trusting working relationships with others, and seeks to continuously learn from errors and experiences, as well as new developments in job specific administration and operational areas as assigned.

The successful candidate has:

• Bachelor's Degree or demonstrated equivalent work experience. Master's Degree highly preferred.
• Prior work experience in a community health center or primary care setting
• Demonstrated success in independently planning and managing multiple projects and reevaluating priorities in a self-directed manner and meeting challenging deadlines, and being willing to work long and flexible hours during peak project times to get the job done. Ability to be highly organized and accountable.
• Knowledge of healthcare system
• Excellent verbal, written and presentation skills
• Understanding of Quality Improvement (HEDIS, NCQA Accreditation, Star Ratings)
• Prior experience or working knowledge of electronic health records preferred. Epic Practice Management/Electronic Medical Records experience a plus. Windows, Microsoft Office, and proficiency in navigating through various cloud based/web-based portals and applications
• Ability to establish and maintain effective relationships with widely diverse groups, including individuals at all levels both within and outside the organization and gain their cooperation
• Ability to work flexible hours and must be able to independently travel to assigned locations

Physical Requirements and Work Environment

The work environment is characteristic of normal office conditions. While performing the duties of this job, the employee is frequently required to sit; use hands to handle or lift. The employee is occasionally required to stand; walk; and reach with hands and arms. The employee must occasionally lift and/or move up to 20 pounds. Specific vision abilities required by this job include close vision, distance vision and ability to adjust focus. The employee must also possess hearing and speech to communicate in person and over the phone. The noise level in the work environment is usually quiet. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Additional Requirements

• Must have a current and valid California driver's license and the ability to provide proof of personal auto insurance on the vehicle driven during working hours.
• If selected for an employment opportunity with Elica Health Centers, external hires must provide proof of immunizations (Hepatitis B, MMR, Varicella & Tetanus), tuberculosis clearance, and proof of COVID-19 vaccination status* prior to their scheduled start date. Please be advised that this position is subject to criminal background investigation and drug screen.

*Elica Health Centers is a healthcare facility that adheres to the mandates issued by the California Department of Public Health including the recent orders regarding the COVID-19 vaccine. Medical and religious exemptions will be considered.