Outpatient Risk Adjustment Coder IHCI

Community Health Network • Indianapolis, IN

17h • Remote

About The Position

Join Community Community Health Network was created by our neighbors, for our neighbors. Over 60 years later, “community” is still the heart of our organization. It means providing our neighbors with the best care possible, backed by state-of-the-art technology. It means getting involved in the communities we serve through volunteer opportunities and benefits initiatives. It means ensuring our dedicated caregivers can learn and grow to stay at the top of their fields and to better serve our patients. And above all, it means exceptional care, simply delivered — and we couldn’t do it without you. Partner with Community Health Network and Deaconess Health System – IHCI The Innovative Healthcare Collaborative of Indiana LLC (IHCI) is a company formed through the partnership of Community Health Network ( CHNw ) and Deaconess Health System (DHS). Both CHNw and DHS place high importance on continuing and advancing population health and value-based care to improve patient health outcomes. Make a Difference Reporting to the Clinical Documentation Integrity Manager, this role performs patient chart reviews to ensure the appropriateness and completeness of diagnostic coding with evidence based on CMS HCC standards. The Risk Adjustment Coder is responsible for: Timely , accurate, and complete review of patient charts following patient encounters, utilizing a variety of technical platforms to complete workflows. Validating diagnosis codes representing patient conditions along with necessary MEAT documentation. Ensuring coding is consistent with guidelines from regulatory entities. Conducting audits to meet compliance with ACA standards. Creating post-visit queries with follow up . Collaborating with CDI team members, particularly with clinical findings. Contributing to the provider education body of work, participating in pre-encounter reviews as needed.

Requirements

• High School diploma or GED is required.
• Three (3) or more years of experience in professional OUTPATIENT Risk Adjustment (HCC) coding is required.
• Must obtain one of the following certifications through AAPC and/or AHIMA: CPC, CPC-H, CPC-I, CPC-A, CCSP, CCS, Certified Risk Adjustment Coder (CRC) within 6 months from hire.

Nice To Haves

• Associate degree is preferred.
• Three (3) or more years of experience in population health, VBC/ACO is preferred.
• Three (3) or more years of experience in OUTPATIENT Coding is preferred.

Responsibilities

• Timely , accurate, and complete review of patient charts following patient encounters, utilizing a variety of technical platforms to complete workflows.
• Validating diagnosis codes representing patient conditions along with necessary MEAT documentation.
• Ensuring coding is consistent with guidelines from regulatory entities.
• Conducting audits to meet compliance with ACA standards.
• Creating post-visit queries with follow up .
• Collaborating with CDI team members, particularly with clinical findings.
• Contributing to the provider education body of work, participating in pre-encounter reviews as needed.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED
• Number of Employees: 1,001-5,000 employees