Risk Adjustment Coder – 2

🔥 13 hours ago

🤠 Texas – Remote

🤠 Texas – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🏥 Medical Billing and Coding

🦅 H1B Visa Sponsor

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Memorial Hermann Health System

WebsiteLinkedInAll Job Openings

10,000+ employees

⚕️ Healthcare Insurance

🏥 Healthcare

🧘 Wellness

💰 $5M Grant on 2022-08

Healthcare Insurance • Healthcare • Wellness

Memorial Hermann Health System is a comprehensive healthcare organization that provides a wide range of medical services, including cancer care, cardiovascular services, emergency and trauma care, women’s health, and surgical services. With the largest network of emergency centers in Greater Houston, it focuses on delivering advanced healthcare and wellness programs tailored to individual needs. Memorial Hermann is committed to advancing health equity and enhancing community health through its various medical facilities and services.

📋 Description

• Provide accurate, reliable and effective education to physicians and extenders regarding outpatient procedural and diagnosis coding • Perform individual and group documentation reviews and identify opportunities for improvement • Assist with implementation of physician-led CME documentation and coding courses • Coordinate with physician leadership and other resources to develop and deliver educational programming • Provide coding expertise to educate physicians and support staff on procedures meeting billing compliance requirements • Provide documentation and coding education virtually or in designated clinics • Research updates for provider education materials • Interpret changes in external regulatory environments and coding updates • Plan and conduct ongoing training with providers and support staff • Serve as subject matter expert on procedural coding, ICD-10 coding, regulations and documentation requirements • Maintain project work lists and meet deadlines • Seek physician input when required information is missing or unclear • Maintain current outpatient coding knowledge and follow coding, regulatory and internal compliance guidelines • Ensure safe care and adherence to Memorial Hermann policies, procedures and standards • Support department goals and serve as preceptor, mentor and resource to less experienced staff • Perform other duties as assigned

🎯 Requirements

• Associate degree required; in lieu of degree, minimum of two (2) years of progressive experience in outpatient physician documentation and Risk Adjustment • One of the following certifications required: Certified Coding Specialist (CCS), Certified Professional Coder (CPC), Certified Coding Specialist-Physician Based (CCS-P), Clinical Documentation Expert (CDEO), Certified Risk Adjustment Coder (CRAC), Certified Professional Medical Auditor (CPMA), or Certified Coding Associate (CCA) • Five (5) years of progressive experience in outpatient physician documentation and Risk Adjustment • Minimum of two (2) years specifically in a multi-specialty practice environment • Advanced working knowledge of ICD-10, CPT, HCPCs, compliance and coding requirements • HCC Risk Adjustment experience required • Expertise in risk factor calculations • Computer skills, operating systems and EMRs • Organizational and planning skills with ability to work independently • Observation, analytical thinking and problem-solving skills • Superior verbal and written communication skills, with ability to adapt style and tone according to situation and audience • Experience in adult learning principles for adult education and training • Bachelor’s degree preferred

🏖️ Benefits

• Mandatory/continuing education and skills competency support • Professional growth and development opportunities • Preceptor, mentor and resource opportunities • Full-time employment