Risk Adjustment Coder — Precision Coding for Better Care

Suvida; United States; Remote; USD 65,000 - 90,000; Full time

Benefits offered by this job

Competitive Pay

Free Mental Health & Life Coaching for

Team Members and Dependents

Holiday Time Off with Pay

Paid Community Service Day

Paid Parental/Family Leave

Generous PTO

401k Retirement Plan with CompanyMatch

Job summary

Suvida Healthcare seeks a Risk Adjustment Coder to coordinate and support chart reviews using Hierarchical Condition Categories, translating data, inputting and validating medical record information to improve documentation and coding accuracy. You will be part of the care team enhancing preventive care for Medicare-eligible Hispanic seniors.

The role involves onsite collaboration with physicians and staff, guidance on CPT/HCPCS/ICD-10 coding, and leading audits to ensure 95% accuracy while

Qualifications

• 3+ years ICD-10 coding (Required)
• 3+ years Medicare risk adjustment coding (Required)
• 2+ years prospective and concurrent risk adjustment retrospective review (Required)
• 1+ year provider education experience (Required)
• CPT and E&M coding: 1+ year (Required)
• Outpatient Primary Care coding: 1+ year experience (Required)
• Elation EMR (Preferred)
• RHIA/RHIT or CPC/CPMA certifications (Required)

Responsibilities

• Review all available patient medical records and ensure documentation supports diagnoses and coding guidelines (M.E.A.T).
• Implement pre- and post-visit audits with providers to capture documentation with specificity.
• Engage physicians and staff to build strong working relationships.
• Maintain regular touchpoints with providers and schedule chart-review meetings.
• Assist in obtaining medical records to support audits requested by Health Plans.
• Ensure compliance with Federal/State/County coding and documentation laws and guidelines.

Skills

HCC risk adjustment coding

Medical record review

CPT/HCPCS/ ICD-10 coding

Interdisciplinary team collaboration

Education

CPC/CPMA/CRC/ CCS-P/ CCS/ RHIA or RHIT certification

Clinical background (RN/LVN/LPN/Pharmacist) preferred

Tools

Elation EMR

Job description

Suvida Healthcare seeks a Risk Adjustment Coder to coordinate and support chart reviews using Hierarchical Condition Categories, translating data, inputting and validating medical record information to improve documentation and coding accuracy. You will be part of the care team enhancing preventive care for Medicare-eligible Hispanic seniors.

The role involves onsite collaboration with physicians and staff, guidance on CPT/HCPCS/ICD-10 coding, and leading audits to ensure 95% accuracy while