Risk Adjustment Coder IHCI

Community Health Network, Inc.; Indianapolis, Northern (IN, KY); Hybrid; USD 65,000 - 90,000; Full time

Job summary

Community Health Network, Inc. is seeking a Remote Risk Adjustment Coder to review patient charts, ensure outpatient HCC coding accuracy, and support CMS compliance from home. Reporting to the CDI Manager, you will use various platforms to complete workflows across eligible states.

The role requires 3+ years in outpatient risk adjustment and coding, with preferences for population health experience and relevant certifications. This is a remote role with growth opportunities within the CDI team.

Qualifications

• Three (3) or more years of experience in professional OUTPATIENT Risk Adjustment (HCC) coding.
• Three (3) or more years of experience in population health, VBC/ACO is preferred.
• Three (3) or more years of experience in OUTPATIENT Coding is preferred.
• Must obtain one of the following certifications through AAPC and/or AHIMA within 6 months from hire (CPC, CPC-H, CPC-I, CPC-A, CCSP, CCS, CRC).

Responsibilities

• Timely, accurate review of patient charts for CMS HCC-based diagnosis coding.
• Utilizing multiple technical platforms to complete CDI workflows.
• Validating diagnosis codes with MEAT documentation and regulatory guidelines.
• Conducting audits to meet ACA standards and compliance.
• Creating post-visit queries and collaborating with CDI team members.

Skills

Team collaboration

Communication skills

Problem-solving mindset

Education

High School diploma or GED

Associate degree

Job description

Remote / Work from Home / Virtual / Hybrid

Department

CDI Team

Schedule

Full-time

Facility

Shadeland Station

Shadeland Ave
Indianapolis , IN 46256
United States

Community Health Network 8.14K subscribers

Community Health Network was created by our neighbors, for our neighbors. Over 60 years later, “community” is still the heart of our organization. It means providing our neighbors with the best care possible, backed by state-of-the-art technology. It means getting involved in the communities we serve through volunteer opportunities and benefits initiatives. It means ensuring our dedicated caregivers can learn and grow to stay at the top of their fields and to better serve our patients. And above all, it means exceptional care, simply delivered — and we couldn’t do it without you.

Partner with Community Health Network and Deaconess Health System – IHCI

The Innovative Healthcare Collaborative of Indiana LLC (IHCI) is a company formed through the partnership of Community Health Network (CHNw) and Deaconess Health System (DHS). Both CHNw and DHS place high importance on continuing and advancing population health and value-based care to improve patient health outcomes.

Make a Difference

Reporting to the Clinical Documentation Integrity Manager, this role performs patient chart reviews to ensure the appropriateness andcompleteness of diagnostic coding with evidence based on CMS HCC standards. The Risk Adjustment Coder is responsible for:

Timely, accurate, and complete review of patient charts following patient encounters, utilizing a variety of technical platforms to complete workflows.

Validating diagnosis codes representing patient conditions along with necessary MEAT documentation.

Ensuring coding is consistent with guidelines from regulatory entities.

Conducting audits to meet compliance with ACA standards.

Creating post-visit queries with follow up.

Collaborating with CDI team members, particularly with clinical findings.

Contributing to the provider education body of work, participating in pre-encounter reviews as needed.

Exceptional Skills and Qualifications

Applicants for this position should be able to collaborate with others in a team setting, have excellent communication skills, and a positive attitude toward problem-solving.

High School diploma or GED is required.

Associate degree is preferred.

Three (3) or more years of experience in professional OUTPATIENT Risk Adjustment (HCC) coding is required.

Three (3) or more years of experience in population health, VBC/ACO is preferred.

Three (3) or more years of experience in OUTPATIENT Coding is preferred.

Must obtain one of the following certifications through AAPC and/or AHIMA: CPC, CPC-H, CPC-I, CPC-A, CCSP, CCS, Certified Risk Adjustment Coder (CRC) within 6 months from hire.

This is a REMOTE position. Community caregivers performing work remotely are permitted to live in the following states: Indiana, Illinois, Ohio, Michigan, Kentucky, Florida and Texas. Caregivers are not allowed to perform work remotely outside of the above states. Applicants from other states may apply; however, if hired, they will be required to relocate to one of the above states within 60 days of their employment date.

Why Community?

At Community Health Network, we build teams that deliver exceptional care through empathy, communication and collaboration. We consider ALL an integral part of the exceptional patient experience. We PRIIDE ourselves on not having employees but Caregivers. Join our Community as we make a difference in your community.

Remote / Work from Home / Virtual / Hybrid