Risk Adjuster Coder

Risk Adjuster Coder

The HCC Risk Adjustment Coder works within the Risk Adjustment Team to review medical records and translate them into risk-adjustable ICD-10 codes. The HCC Risk Adjustment Coder is meticulous and diligent in an attempt to ensure the risk accuracy of each member enrolled in a Centers Plan for Healthy Living’s Medicare Plan.

Essential Duties and Responsibilities:

• Reviews, analyzes and codes diagnostic information located in a member’s medical record
• Ensures compliance with established ICD-10 coding guidelines and regulations
• Compiles educational materials and trains providers regarding proper coding protocols
• Participates in quality improvement initiatives
• Completes other duties, as assigned

Knowledge, Skill Set & Qualifications Required

• AHIMA certified credentials (RHIA, RHIT, CCS) or AAPC certified credentials (CPC, CPCH, COC, CIC, or CRC).
• 2 years of HCC Risk Adjustment coding experience
• Proficiency in Microsoft Excel
• A strong knowledge base of medical terminology, abbreviations, pharmacology, and disease processes
• Strong written and verbal communication skills
• Ability to follow instructions, meet deadlines, and work independently.

Position Type/Expected Hours of Work

Full time, Monday through Friday, 9 a.m. to 5 p.m.

We offer:

• Competitive Wages
• Health Benefits
• Dental
• Vision
• 401K
• Generous Paid Time Off
• Voluntary Employee Benefit Programs
• Paid Training
• Employee Referral Award Program

LOCATION:

Staten Island, New York

ABOUT US:

AHC18, LB123

Revival Home Health Care is guided by a tradition of personal, clinical, and technological excellence. We promise to provide responsive, culturally sensitive, professional home care to our communities in a cost-effective way. Our goal is to enhance the physical, psychological, and spiritual well-being of those we serve.