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Wiki A question for all you Risk Adjustment coders

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T

trarut

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Will you tell me what it's like to work as a Risk Adjustment coder? Do you have to work directly with physicians? Do you work remotely? What does a normal day look like for you?

I am starting to feel like I've done what I need to do in my current line of work. I'm giving serious consideration to making a switch to being a Risk Adjustment coder and would like to hear what it's like in the real world. I'd love to find something where I can work from home again. I did that for many years and miss it terribly (it pays to not be a social creature at times LOL).

Anyhoo, thanks in advance for sharing!
 
I work as a risk coder for a Medicaid ACO. We work on risk coding projects for the health centers in our ACO. I review current encounters before they have been billed and pass recommended coding changes or additions on to their coders and/ or billers so they can make the changes and bill out the claims. I do not have any contact with physicians. I work remotely. I also felt that I had done all that I could with my last job. I have always been interested in risk coding and I am so happy I made the change. It is a nice change of pace for me and I really enjoy it.

I sent you a private message.
 
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hperry10 said:
I work as a risk coder for a Medicaid ACO. We work on risk coding projects for the health centers in our ACO. I review current encounters before they have been billed and pass recommended coding changes or additions on to their coders and/ or billers so they can make the changes and bill out the claims. I do not have any contact with physicians. I work remotely. I also felt that I had done all that I could with my last job. I have always been interested in risk coding and I am so happy I made the change. It is a nice change of pace for me and I really enjoy it.

I sent you a private message.
Click to expand...
Thank you so much for the reply. I'll check my messages!
 
hperry10 said:
I work as a risk coder for a Medicaid ACO. We work on risk coding projects for the health centers in our ACO. I review current encounters before they have been billed and pass recommended coding changes or additions on to their coders and/ or billers so they can make the changes and bill out the claims. I do not have any contact with physicians. I work remotely. I also felt that I had done all that I could with my last job. I have always been interested in risk coding and I am so happy I made the change. It is a nice change of pace for me and I really enjoy it.

I sent you a private message.
Click to expand...
I'm just seeing this. I've been facility coding for 15 years, many different work types, including ED. Can you send me a private message and tell me if risk adjustment coders get paid less than pro-fee and facility coders in a healthcare system? Thank you!
 
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