Risk Adjustment Coder – 2

This is a fully remote position, open to applicants in Texas.

📋 Description

• Deliver precise, dependable, and effective education to physicians and extenders concerning outpatient procedural and diagnosis coding.

• Conduct individual and group documentation evaluations while identifying areas for enhancement.

• Aid in the rollout of physician-led CME documentation and coding courses.

• Collaborate with physician leadership and other resources to create and present educational programs.

• Offer coding expertise to educate physicians and support staff on procedures that comply with billing requirements.

• Provide documentation and coding education either virtually or at specified clinics.

• Research updates for provider education materials.

• Analyze changes in external regulatory environments and coding updates.

• Plan and execute ongoing training sessions with providers and support staff.

• Act as a subject matter expert on procedural coding, ICD-10 coding, regulations, and documentation standards.

• Maintain project work lists and adhere to deadlines.

• Seek physician input when necessary information is unclear or missing.

• Keep current on outpatient coding knowledge while following coding, regulatory, and internal compliance standards.

• Ensure safe care and compliance with Memorial Hermann policies, procedures, and standards.

• Support departmental objectives and function as a preceptor, mentor, and resource for less experienced staff.

• Carry out other duties as assigned.

⛳️ Requirements

• Associate degree required; alternatively, a minimum of two (2) years of progressive experience in outpatient physician documentation and Risk Adjustment.

• One of the following certifications is required: Certified Coding Specialist (CCS), Certified Professional Coder (CPC), Certified Coding Specialist-Physician Based (CCS-P), Clinical Documentation Expert (CDEO), Certified Risk Adjustment Coder (CRAC), Certified Professional Medical Auditor (CPMA), or Certified Coding Associate (CCA).

• Five (5) years of progressive experience in outpatient physician documentation and Risk Adjustment.

• At least two (2) years specifically within a multi-specialty practice environment.

• Advanced working knowledge of ICD-10, CPT, HCPCs, compliance, and coding requirements.

• HCC Risk Adjustment experience is required.

• Proficiency in risk factor calculations.

• Computer skills, including operating systems and EMRs.

• Strong organizational and planning abilities with the capacity to work independently.

• Observation, analytical thinking, and problem-solving skills.

• Excellent verbal and written communication skills, with the ability to adjust style and tone as per the situation and audience.

• Experience in adult learning principles for adult education and training.

• Bachelor’s degree is preferred.

🏝️ Benefits

• Mandatory/continuing education and skills competency support.

• Opportunities for professional growth and development.

• Opportunities to serve as a preceptor, mentor, and resource.

• Full-time employment.