Risk Adjustment Coder: Elevate Medical Records

Suvida Healthcare; Dallas (TX); Vor Ort; USD 60.000 - 90.000; Vollzeit

Benefits dieser Stelle

Competitive pay

Mental health coaching

Paid time off

Community service day

Parental leave

401k with match

Zusammenfassung

Suvida Healthcare seeks a Risk Adjustment Coder to support audit and coding in a primary care setting serving Medicare-eligible Hispanic seniors. You will review records, ensure documentation accuracy, and educate providers on CPT/HCPCS/ICD-10 coding within HEDIS and NCQA guidelines.

Onsite visits to practices are required; we value collaboration, accuracy, and timely production while helping our team deliver high-quality preventive care and health equity for our community.

Qualifikationen

• ICD-10 coding: 3+ years (Required)
• Medicare risk adjustment coding: 3+ years (Required)
• Prospective and concurrent Risk adjustment retrospective review: 2+ years (Required)
• Provider education – 1+ year experience (Required)
• CPT and E&M coding: 1+ year (Required)
• Outpatient Primary Care coding: 1+ year experience (Required)
• Elation EMR (Preferred)
• CPC /CPMA/ CRC/ CCS-P/ CCS/ RHIA or RHIT certification (Required)

Aufgaben

• Review all available patient medical records and ensure codes align with documentation and guidelines.
• Implement a pre-visit and post-visit audit process with providers.
• Engage physicians and office staff to maintain collaboration.
• Schedule meetings with providers to discuss chart reviews.
• Obtain medical records to support audits requested by Health Plans.
• Ensure compliance with Federal, State, and local coding regulations.
• Educate staff on proper billing and documentation policies.
• Identify missing documentation and coding opportunities; escalate issues as needed.
• Visit providers onsite for education and feedback based on chart reviews.
• Meet daily production and quality goals (95% accuracy).
• Suggest and educate on CPT/HCPCS/ICD-10 coding and modifiers.
• Knowledge of HEDIS and NCQA guidelines.

Kenntnisse

ICD-10 coding

HCC coding

Medicare risk adjustment

Medical record reviews

Healthcare compliance

Ausbildung

CPC/CPMA certification

RHIA or RHIT certification

ICD-10 coding certification

Tools

Elation EMR

Jobbeschreibung

Suvida Healthcare seeks a Risk Adjustment Coder to support audit and coding in a primary care setting serving Medicare-eligible Hispanic seniors. You will review records, ensure documentation accuracy, and educate providers on CPT/HCPCS/ICD-10 coding within HEDIS and NCQA guidelines.

Onsite visits to practices are required; we value collaboration, accuracy, and timely production while helping our team deliver high-quality preventive care and health equity for our community.