HCC Risk Adjustment Coder II — Educator & Analyst

St Luke's Health; Houston (TX); On-site; USD 60,000 - 80,000; Full time

Job summary

St Luke's Health is looking for a Value Based Coder II in Houston, Texas. This role involves reviewing patient medical records to enhance coding opportunities with a strong emphasis on Hierarchical Condition Categories (HCC).

The ideal candidate will have 2+ years in outpatient coding and a deep understanding of risk adjustment principles. Responsibilities include providing education to network providers and ensuring compliance with coding guidelines.

Qualifications

• 2+ years of experience in outpatient coding.
• 2+ years focused on risk adjustment and HCC principles.
• Strong understanding of federal and state guidelines on coding.

Responsibilities

• Independently review patient medical records for coding opportunities.
• Analyze documentation to improve HCC capture.
• Monitor HCC coding guidelines and compliance trends.
• Participate in network performance improvement initiatives.

Skills

Outpatient coding

HCC principles

Communication skills

CPT and ICD-10 coding

Tools

Medical information systems

Records management software

Encoder software

Job description

St Luke's Health is looking for a Value Based Coder II in Houston, Texas. This role involves reviewing patient medical records to enhance coding opportunities with a strong emphasis on Hierarchical Condition Categories (HCC).

The ideal candidate will have 2+ years in outpatient coding and a deep understanding of risk adjustment principles. Responsibilities include providing education to network providers and ensuring compliance with coding guidelines.