Sr. Risk Adjustment Coder

Upperline Health Inc; Nashville (TN); Remote; USD 50,000 - 70,000; Full time

Job summary

Upperline Health Inc is seeking a Risk Adjustment Coder to join their new value-based care team. This role involves performing pre-visit chart reviews and ensuring accurate patient health status coding. Ideal candidates will possess risk adjustment coding experience and relevant certifications. The position offers remote work flexibility and a chance for professional growth within the organization.

Benefits

Comprehensive benefit options including medical, dental and vision

401K and PTO

Qualifications

• 1+ years of risk adjustment coding experience preferred.
• Strong knowledge of risk adjustment coding required.
• Previous experience working with EMR systems, preferably Athena.

Responsibilities

• Perform reviews of medical records for risk adjustment coding.
• Conduct post visit claims review to ensure proper documentation.
• Stay updated on coding and risk adjustment changes.

Skills

Risk Adjustment Coding

Critical Thinking

Attention to Detail

Communication

Education

CPC-A, CPC, CRC, RHIT, RHIA or similar coding credentials

Tools

EMR systems

Athena

Job description

Upperline Health launched in 2017 and is a physician practice caring for patients with diabetes and other chronic diseases in value-based care arrangements. We align patients through employed specialists including podiatry, wound care and vascular care. Our team provides an additional layer of support for patients through co-management with the PCP. Upperline's interdisciplinary team sees patients in the clinic, home, hospital and facilities and provides wrap-around services including 24/7 call, remote patient monitoring, behavioral health telemedicine and other resources. Upperline is based out of Nashville, TN.

Comprehensive benefit options include medical, dental and vision, 401K and PTO.

About the Risk Adjustment Coder

Upperline Health is seeking a Risk Adjustment Coder who will be responsible for performing pre-visit chart reviews for suspect risk coding, posting visit claims reviews, and ensuring complete capture of patients’ health status. This Risk Adjustment Coder is an integral part of our new value-based care team and will be essential to effectively support our providers and patients. To be successful in this role, this individual will have experience in risk adjustment coding, the prospective risk process with suspecting and comfortable working in EMR systems, preferably Athena. He or she should be a team player who enjoys fast paced environments, rolling their sleeves up to problem solve, and is comfortable adapting the processes and systems to support our physicians in the field and our ACO initiatives. This is the first coder position on Upperline’s new and growing Risk Adjustment team, and we believe this is a unique and exciting opportunity that presents a range of future career growth opportunities within the company.

This position is remote.

What You’ll Do

• Perform reviews of medical record for complete capture of risk adjustment coding opportunities
• Follow operational workflows and work to achieve individual and team goals and ensure the highest level of quality, accuracy, and efficiency in delivered to support our providers
• Conduct post visit claims review to ensure proper documentation
• Stay up to date on coding and risk adjustment changes
• Work independently under supervision of risk adjustment leadership
• Maintain accuracy and productivity goals as set by risk adjustment leadership

Qualifications of the Risk Adjustment Coder

• 1 + years of risk adjustment coding experience preferred but open to new graduates of coding programs upon completion of coding certification
• CPC-A, CPC, CRC, RHIT, RHIA or other similar coding credentials from AAPC or AHIMA is required
• Strong knowledge of risk adjustment coding
• Understanding of anatomy and physiology and medical terminology and processes
• Previous experience working with EMR systems - Athena experience highly preferred

About You

• Team player with respect for others, ability to accept feedback and willingness to learn
• Thrives in a fast-paced environment, nimble and adaptable to change
• Excellent communications skills across all levels of team members, providers and leadership
• Critical thinking skills and attention to detail to review complex patient scenarios in an effective and timely manner
• Self-motivated and goal oriented and self-motivated to accomplish necessary tasksand achieve successful results

Compensation

Compensation is commensurate to compensation for similar positions in the region and based on prior training and experience

Job Type: Full-time

Equal Opportunity Employer
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