Ambulatory Risk Adjustment Coder — Flexible Hours

Edward Elmhurst Health; Skokie, Northern (IL, KY); Hybrid; USD 31,000 - 46,000; Full time

Benefits offered by this job

Medical Insurance

Dental Insurance

Vision Insurance

Tuition Reimbursement

Free Parking

Job summary

Edward Elmhurst Health in Skokie, IL is seeking an Ambulatory Risk Adjustment Coding Specialist to identify HCC codes in physician outpatient visits and ensure they are coded with highest specificity. You will verify that documentation meets CMS requirements and work with ambulatory CDS to confirm code accuracy.

Responsibilities include abstracting HCCs, identifying chart-level impairments, partnering with physicians to improve documentation, onboarding new staff, keeping ICD-10-CM knowledge

Qualifications

• CRC certification required within 6 months of hire.

Responsibilities

• 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 score.
• Identify diagnosis and chart level impairments and documentation improvement opportunities for provider education.
• Partner with ambulatory clinical documentation specialists and physicians to properly code patient charts to ensure appropriate risk adjustment.
• Assist coding leadership by making recommendations for process improvements to further enhance coding goals and outcomes.
• Onboard new coding specialists to the role as needed.
• Maintain current knowledge of ICD-10-CM codes, CMS documentation requirements, and state and federal regulations.
• Consistently maintain a minimum 95% accuracy on coding quality audits.
• Meet minimum productivity requirements as outlined by the project terms.
• Utilize technical coding expertise to assign appropriate ICD-10-CM diagnosis codes, as well as assist in appropriate assignment of risk adjustment.
• Maintain advanced knowledge of coding all HCC diagnoses from the medical record in accordance with the ICD-10-CM coding guidelines.
• Assist with and complete special project work as assigned by Ambulatory Clinical Documentation Leadership

Education

High School Diploma

Associates Degree

Job description

Edward Elmhurst Health in Skokie, IL is seeking an Ambulatory Risk Adjustment Coding Specialist to identify HCC codes in physician outpatient visits and ensure they are coded with highest specificity. You will verify that documentation meets CMS requirements and work with ambulatory CDS to confirm code accuracy.

Responsibilities include abstracting HCCs, identifying chart-level impairments, partnering with physicians to improve documentation, onboarding new staff, keeping ICD-10-CM knowledge