Value Based Care Coder

Accompany Health; United States; Remote; USD 60,000 - 80,000; Full time

Job summary

Accompany Health is looking for a Value Based Care Coder to ensure accurate and specific clinical documentation for low-income patients. The role involves review, education support, and compliance with documentation guidelines to improve healthcare outcomes in marginalized communities.

Qualifications

• 3+ years of recent relevant work experience in medical coding, preferably in risk adjustment.
• Thorough understanding of medical coding regulations including compliance.
• Expertise in the CMS HCC Risk Adjustment program.

Responsibilities

• Concurrent review to ensure accurate clinical documentation.
• Compliant query generation when conflicts arise.
• Provide guidance on coding best practices.

Skills

Medical Coding Guidelines

Risk Adjustment

Compliance

Provider Education

Education

Certified Professional Coder (CPC) Certification

Certified Risk Adjustment Coder (CRC) Certification

Tools

athenahealth

GSuite

Job description

Accompany Health is on a mission to give low-income patients with complex needs the dignified, high-quality care they deserve but rarely receive. A primary, behavioral, and social care provider, Accompany Health walks alongside patients for their entire care journey, offering at-home and virtual care, as well as 24/7 support. Partnering with innovative payors, Accompany Health is powered by remarkable care teams, elegant technology, and a commitment to evidence-based practice.

We build long-term relationships with our patients so they know, without question, that our team is here for them day or night, year after year. We focus on the health outcomes most important to our patients to make it clear that they lead the way.

To achieve our mission, we collaborate with community-based organizations, local providers, and health plans. Led by our empathetic care teams, guided by proven care models, and powered by our own technology, we deliver a level of service that our communities rightfully deserve but rarely receive.

While our headquarters is in Bethesda, MD, our teams are distributed across the country. If you’re eager to make a tangible difference in people’s lives, to help correct long-standing disparities in health care, join us.

About the role:

As a Value Based Care (VBC) Coder for Accompany Health you will be:

-Concurrent and post-visit review to ensure care teams achieve accurate and specific clinical documentation.

-Compliant query generation, as needed.

-Identifying educational opportunities to improve clinical documentation in compliance with ICD-10 CM coding guidelines, internal protocols, and CMS and payer guidelines.

Responsibilities will include:

• Concurrent review/real time education support and feedback during patient face-to-face visit (in person or via telehealth) to ensure coding and documentation accurately captures patient health status.
• Compliant query generation when conflicts or clarification is needed in documentation, prior to claim submission.
• Corrected claim generation when compliant note amendments are completed.
• Provide guidance to field staff and practices regarding general coding, documentation and risk adjustment best practices.
• Partner with internal stakeholders to improve reporting and analytics tools to drive improvements in the accuracy and completeness of clinical documentation and diagnosis coding.
• Reviews annual mapping of ICD-10 CM crosswalk from CMS Website.
• Other duties as assigned.
• This role reports to the Manager, Coding and Revenue Cycle Management.

What makes you a fit for the team:

• You are excited to work in a startup environment, with the ambiguity and shifting priorities that might come with it at times
• You are willing to go the extra mile no matter what
• You are passionate about our mission to improve the lives and healthcare outcomes of marginalized communities

Desired skills and experience:

• Required
• Current certification as a Certified Professional Coder (CPC), Certified Risk Adjustment Coder (CRC), or equivalent
• 3+ years of recent, relevant work experience in medical coding, preferably in risk adjustment
• Thorough understanding of medical coding guidelines and regulations including compliance, reimbursement, and the impact of diagnosis documentation on risk adjustment payment models
• Subject matter expertise on the CMS HCC Risk Adjustment program, methodology, and impact to value-based contracts

• Preferred
• Experience in pre-visit planning and provider education
• Experience with athenahealth
• Experience with GSuite and Google applications

$32 - $36 an hour

The US base salary range for this full-time position is $32-$36/hour + equity + benefits. Our salary ranges are determined by role, level, and location. The range displayed on each job posting reflects the minimum and maximum target for new hire salaries for the position. Within the range, individual pay is determined by work location and additional factors, including job-related skills, experience, and relevant education or training. Our talent team can share more about the specific salary range for your preferred location during the hiring process.

#LI-Remote

#LI-JL1

For Patient Facing Roles

To keep our patients, communities and each other safe, you'll be required to comply with Accompany Health’s medical clearance requirements, including completing a TB screen and providing proof of immunity or vaccination for certain conditions. This is a condition of employment, and we make exceptions as required by law. Accommodation for religious and medical beliefs will be provided on a case by case basis.

We embrace diversity and believe it creates a healthier atmosphere: Accompany Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.