Risk Adjustment Coding Reviewer

Job not on LinkedIn

🔥 0 minutes ago

🌵 Arizona – Remote

🌵 Arizona – Remote

💵 $27 - $46 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

🎲 Risk

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

Banner Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1999

🏥 Healthcare

⚕️ Healthcare Insurance

Healthcare • Healthcare Insurance

Banner Health is a leading healthcare system committed to making healthcare easier through comprehensive patient services and resources. They provide a safe place for care with services ranging from emergency and urgent care, imaging, and surgery centers to maternity and hospice care. Banner Health also offers telehealth options to ensure access to healthcare, regardless of location. They support athletes through Banner Orthopedics & Sports Medicine and have been recognized for exceptional patient care. With advanced digital tools, they aim to manage healthcare seamlessly for their patients.

📋 Description

• Conduct prospective and concurrent chart reviews to ensure documentation supports accurate ICD-10 risk adjustment coding and compliance • Review clinical documentation and validate supported diagnoses • Work within Cerner, NextGen, and other risk adjustment applications • Query providers through compliant documentation clarification processes • Deliver education to providers and practice partners on risk adjustment principles, coding accuracy, and documentation best practices • Identify patterns in provider coding using data and chart reviews • Implement provider and staff education to remediate low-performance areas • Assist with delivery of education and training materials • Conduct and coordinate provider and office staff training and development • Provide technical training in coding, risk adjustment, documentation, and billing functions • Compile data and recommend solutions for provider coding trends • Maintain a 96% quality audit accuracy rate • Assist with research and analysis regarding compliance, coding, and inappropriate documentation • Maintain confidentiality under HIPAA privacy policy • Maintain current knowledge of coding guidelines and relevant federal regulations

🎯 Requirements

• Candidates must live in the state of AZ • Bachelor’s degree in healthcare administration or related field or equivalent experience • Current active RHIA, RHIT, or CCS credential with AHIMA, or CPC credential with active status with AAPC • Four or more years of work experience in risk adjustment • Knowledge of medical terminology, anatomy and physiology, and disease pathology • Knowledge of ICD-10-CM Coding Guidelines and medical record documentation • Knowledge of Medical Staff Rules and Regulations where applicable • Effective interpersonal and instructional skills • Excellent written, verbal, and customer service skills • Ability to conduct educational needs analysis and teach effectively to a wide range of comprehension levels • Proficiency in common office and presentation software • Advanced knowledge and experience with computer healthcare applications and hardware

🏖️ Benefits

• Remote work options • Professional development • Wellness benefits • Continued education • Work-life balance • Employee engagement initiatives