Ambulatory Risk Adjustment Coding Specialist

Hourly Pay Range:$23.70 - $35.55 - The hourly pay rate offered is determined by a candidate's expertise and years of experience, among other factors.Position HighlightsPosition: Ambulatory Risk Adjustment Coding SpecialistLocation: Skokie, ILFull TimeHours: Monday-Friday, [hours and flexible work schedules]Brief Overview:Our Ambulatory Risk Adjustment Coding Specialist I plays a key role in identifying HCC codes within physician outpatient visits and ensuring they are coded accurately and to the highest specificity. They additionally will verify that documentation requirements are met to validate the HCC diagnosis code. Working closely with the ambulatory clinical documentation specialist (CDS), they will clinically verify the accuracy of HCC codes. Using compliant query guidelines, the coding specialist will query the physician should documentation need clarification or specification. The coding specialist is expected to maintain current knowledge of the ICD-10-CM codes and guidelines and meet minimum productivity requirements outlined by team leadership.What you will do:Review/abstract HCC codes to ensure they are coded accurately, to the highest specificity possible, and make sure the required MEAT is documented, resulting in the correct CMS-HCC risk scoreIdentify diagnosis and chart level impairments and documentation improvement opportunities for provider educationResponsible for partnering with ambulatory clinical documentation specialists and physicians to properly code patient charts to ensure appropriate risk adjustmentAssist coding leadership by making recommendations for process improvements to further enhance coding goals and outcomesAssists the coding team leads with onboarding new coding specialists to the role as needed.Maintain current knowledge of ICD-10-CM codes, CMS documentation requirements, and state and federal regulationsConsistently maintain a minimum 95% accuracy on coding quality auditsMeet minimum productivity requirements as outlined by the project termsUtilizes technical coding expertise to assign appropriate ICD-10-CM diagnosis codes, as well as assist in appropriate assignment of risk adjustmentMaintains advanced knowledge of coding all HCC diagnoses from the medical record in accordance with the ICD-10-CM coding guidelinesAssists with and completes special project work as assigned by Ambulatory Clinical Documentation LeadershipWhat you will need:Education: High School Diploma required, Associates Degree preferredCertifications: CRC required within 6 months of hireExperience: 2 years experience working in healthcare or professional business environmentBenefits (For full time or part time positions):Premium pay such as shift, on call, holiday and more based on an employee’s job (For eligible positions)Incentive pay for select positionsOpportunity for annual increases based on performanceCareer Pathways to Promote Professional Growth and DevelopmentVarious Medical, Dental, Pet and Vision optionsTuition ReimbursementFree ParkingWellness Program Savings PlanHealth Savings Account OptionsRetirement Options with Company MatchPaid Time Off and Holiday PayCommunity Involvement Opportunities #J-18808-Ljbffr Endeavor Health