HCC Risk Coding Specialist — Chart Reviews & Provider Education

Essen Medical Associates; New York (NY); On-site; USD 30,686 - 43,704; Full time

Job summary

Essen Medical Associates in New York is seeking a dedicated risk coding specialist to support providers in implementing coding guidelines and enhancing documentation of patient conditions. The position offers full-time engagement in a crucial role that supports healthcare quality for vulnerable populations.

The ideal candidate will possess a strong knowledge of HCC-based risk adjustments, and engage in chart reviews to highlight coding opportunities, thereby ensuring accurate patient documentation.

Qualifications

• Required experience with CMS-HCC risk adjustment coding.
• Familiarity with chronic disease processes such as CHF and diabetes.
• Proven skills in managing coding discrepancies.

Responsibilities

• Learn the details risk coding and adjustment.
• Oversee an offshore team in conducting risk coding activities.
• Conduct chart reviews to identify suspect conditions.

Skills

Strong working knowledge of CMS‑HCC risk adjustment model

Solid understanding of ICD‑10‑CM coding guidelines

Ability to accurately identify and code chronic conditions

Experience reviewing face‑to‑face encounters

Skilled in retrospective and/or prospective chart reviews

Experience with provider education

Education

High School Diploma or equivalent

International Medical Graduate

Certified Risk Adjustment Coder (CRC)

Certified Professional Coder (CPC) or CCS / RHIT / RHIA

Tools

Excel

Job description

Essen Medical Associates in New York is seeking a dedicated risk coding specialist to support providers in implementing coding guidelines and enhancing documentation of patient conditions. The position offers full-time engagement in a crucial role that supports healthcare quality for vulnerable populations.

The ideal candidate will possess a strong knowledge of HCC-based risk adjustments, and engage in chart reviews to highlight coding opportunities, thereby ensuring accurate patient documentation.