Risk Adjustment Coder/Auditor - contract with potential for permanent placement Job in Midvale, Utah

This is an exceptional opportunity to do innovative work that means more to you and those we serve at a large health group in Fort Meyers, Florida.

Risk Adjustment Coding Auditor

• Responsible for ensuring complete risk scores and accurate revenue and mitigating payment error risk via auditing, education, and training for proper diagnosis coding and documentation practices.
• Primary duties may include, but are not limited to:
• Identifies opportunities to improve accuracy and completeness for revenue impact.
• Translates data to provide answers for provider consultations in order to improve medical record documentation and risk scores.
• Provides feedback to providers on performance improvement opportunities; tracks and prioritizes projects to improve coding and documentation outcomes. Develops and implements action plans to address issues identified through data analysis.
• Provides oversight, guidance, and training to partner providers and clinicians related to CMS guidelines and HCC best practices.
• Develops training programs and tools; performs internal process and policy audits.

Experience:

• Minimum of 3-5 years in medical claims coding required
• Experience working with CMS, health insurers and medical providers strongly desired.
• Experience with the nuances of diagnosis coding and risk adjustment programs preferred
• Progressively responsible role with leadership experience and previous experience working in an educational/training role preferred.

Licensure, Certification, Registration: Medical Coding Certification, Certified Professional Coder (CPC), Certified Coding Specialist – Physician (CCS-P) or Certified Coding Specialist (CCS). Certified Risk Adjustment Coder (CRC) preferred (required within 6 months of hire)

Qualifications:

• Contractors must be a Certified Coder with a minimum of 2-5 years of HCC coding experience
• Strong computer/technical skills and strong communication skills
• Must have 2016, 2017, and 2018 ICD-10-CM coding manuals, high-speed and reliable internet, and a Windows based computer or laptop

Job Type:

·         Contract

Work authorization:

• United States (Required)

Contract Length:

• 6 months

Contract Renewal:

• Possible

Work Location:

• Onsite