Coding Specialist
About The Position
In response to incredible growth opportunities, our team is expanding! We have a great opportunity for a Coding Specialist, Risk Adjustment supporting the Integrated Kidney Care team. IKC, which is at the heart of our evolution from a fee-for-service to value-based world. DaVita Integrated Kidney Care is the renal population health management division of DaVita serving approximately 25,000 end stage renal disease (ESRD) and late-stage chronic kidney disease (CKD) patients across the U.S You will join a team of highly motivated individuals that engage with their head, heart, and hands to better serve the people of their community The ideal candidate for the will be responsible for the timely review of documentation from Providers to ensure support of conditions, ICD-10 and HCC, and when applicable, CPT and HCPCS codes to ensure to ensure proper coding, billing and effective claim submission to the health plan.
Requirements
- 2+ years experience of medical coding experience
- Knowledge of Risk Adjustment Coding in a health plan is required
- Coding Certification firmly required; AAPC CPC, CRC or AHIMA CCSP
- Demonstrated proficiency in ICD-10-HCC (ESRD and Commercial) model of coding guidelines
- Required knowledge and understanding of Medicare Advantage guidelines
- Proficient in the areas of Medical Terminology, Anatomy and Physiology, Pharmacology and Electronic Health Record (“EHR”) Systems
- Proficiency in MS Excel, Access and Word required
- Strong analytical and problem-solving skills along
- Proven ability to meet deadlines
- Solid organizational skills and attention to detail
- Ability to maintain confidentiality of patient information
- Ability to work quickly, accurately and independently as a Risk Adjustment / HCC Medical Coding Documentation reviewer
- Must reside in the United States
- #LI-CM2
Responsibilities
- Review Provider documentation in Medical Records
- Perform medical chart reviews to identify documentation supporting HCC codes according to HCC coding requirements
- Future training to code and submit coded encounters for claims submission by Practice Management company
- Other duties as assigned
Benefits
- DaVita offers a competitive total rewards package, which includes a 401k match, healthcare coverage and a broad range of other benefits.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
Number of Employees
5,001-10,000 employees
