HCC Risk Coding Specialist & Chart Review Lead

Essen Healthcare; Northern, New York (KY, NY); Hybrid; USD 33,000 - 47,000; Full time

Job summary

Essen Health care seeks a risk coding specialist to implement coding guidelines and document disease burden. You will become proficient in HCC-based risk adjustment, review charts to identify suspect conditions, and design workflows to ensure providers are informed for thorough assessment and documentation.

Responsibilities include overseeing offshore coding activities, educating providers on documentation standards, and driving improvements to maintain coding integrity across a multi-location

Qualifications

• CMS-HCC risk adjustment knowledge required for accurate coding and compliance.
• Solid understanding of ICD-10-CM coding guidelines.
• Ability to identify and code chronic conditions requiring recapture.

Responsibilities

• Learn risk coding concepts and criteria for surfacing, proving, and documenting conditions.
• Oversee offshore team conducting risk coding activities.
• Conduct chart reviews to identify suspect conditions and highlight improperly coded notes.
• Design workflows to notify providers of suspect conditions.
• Ensure labs and imaging relevant to risk adjustment are reviewed by providers.
• Educate providers on proper documentation and coding guidelines.
• Suggest improvements to workflows to maximize coding integrity.

Skills

CMS-HCC

ICD-10-CM

Chart reviews

Offshore mgmt

KPIs

Excel

Documentation accuracy

Communication

Education delivery

Education

High School Diploma

International Medical Graduate

CRC

CPC or RHIT/RHIA

Job description

Essen Health care seeks a risk coding specialist to implement coding guidelines and document disease burden. You will become proficient in HCC-based risk adjustment, review charts to identify suspect conditions, and design workflows to ensure providers are informed for thorough assessment and documentation.

Responsibilities include overseeing offshore coding activities, educating providers on documentation standards, and driving improvements to maintain coding integrity across a multi-location