Risk Adjustment Coder — HCC & MRA Specialist

Cano Health; Oregon; Híbrido; USD 65 000 - 90 000; Tempo integral

Resumo da oferta

Cano Health is seeking a Risk Adjustment Coder to identify and document CMS HCC related diagnoses from medical records. You will verify code accuracy, ensure complete documentation, and support clinical and billing teams across sites.

Responsibilities include coding, chart preparation, on-site reviews, and ongoing support for MRA coding, HEDIS, and STARS initiatives. Requires CPC/CPC-A/CCS-P or CRC credentials and 2 years of coding experience.

Qualificações

• Two (2) years prior medical coding experience
• Proficient in Microsoft Word and Excel
• Strong organization and process management skills
• Strong collaboration and relationship building skills
• High attention to detail
• Excellent written and verbal communication skills
• Ability to learn new tasks and concepts
• CPC, CPC-A or CCS-P, CRC Coding Certification

Responsabilidades

• Review medical record information to identify all appropriate coding based on CMS HCC categories
• Prepare the medical charts and track patient information via Excel spreadsheets
• Complete appropriate paperwork/documentation/system entry regarding claim/encounter information
• Provide coding support, education and training related to, quality of documentation, level of service and diagnosis coding consistent with established coding guidelines and standards
• Provide real time support and coordination with Primary Care Providers and Care Coordinators for MRA coding, HEDIS and STARS
• Monitor coding changes to ensure that most current information is available
• Work HCC suspect reports
• Accurately code and submit encounters on a timely basis
• Researching and addressing code questions for multiple provider offices as directed
• Update the Director on the status on a weekly basis
• Notifies Patient Experience Manager if annual wellness visits for patients have not been scheduled.
• Travel to offices as necessary to complete on-site chart reviews
• Performs post-audits on assigned offices and notifies office contact when codes are not addressed for provider review.
• Support and participate in process and quality improvement initiatives.
• Assists with billing claims as assigned.

Conhecimentos

Attention to detail

Communication skills

Team collaboration

Learning ability

Organizational skills

Formação académica

CPC, CPC-A or CCS-P, CRC Coding Certification

Ferramentas

Microsoft Word

Excel

Descrição da oferta de emprego

Cano Health is seeking a Risk Adjustment Coder to identify and document CMS HCC related diagnoses from medical records. You will verify code accuracy, ensure complete documentation, and support clinical and billing teams across sites.

Responsibilities include coding, chart preparation, on-site reviews, and ongoing support for MRA coding, HEDIS, and STARS initiatives. Requires CPC/CPC-A/CCS-P or CRC credentials and 2 years of coding experience.