Risk Adjustment Coder

UHS•Reno, NV

99d

About The Position

Prominence Health is a value-based care organization bridging the gap between affiliated health systems and independent providers, building trust and collaboration between the two. Prominence Health creates value for populations and providers to strengthen integrated partnership, advance market opportunities, and improve outcomes for our patients and members. Founded in 1993, Prominence Health started as a health maintenance organization (HMO) and was acquired by a subsidiary of Universal Health Services, Inc. (UHS) in 2014. Prominence Health serves members, physicians, and health systems across Medicare, Medicare Advantage, Accountable Care Organizations, and commercial payer partnerships. Prominence Health is committed to transforming healthcare delivery by improving health outcomes while controlling costs and enhancing the patient experience. Learn more at: https://prominence-health.com/ Job Summary: The Coder is responsible for accurate post review coding and documentation to support proper reimbursement from Medicare while ensuring organizational compliance. Will perform post review production coding as well as medical record abstraction in support of the Healthcare Effectiveness Data and Information Set (HEDIS) data collection. Benefit Highlights: Loan Forgiveness Program Challenging and rewarding work environment Competitive Compensation & Generous Paid Time Off Excellent Medical, Dental, Vision and Prescription Drug Plans 401(K) with company match and discounted stock plan SoFi Student Loan Refinancing Program Career development opportunities within UHS and its 300+ Subsidiaries! · More information is available on our Benefits Guest Website: benefits.uhsguest.com About Universal Health Services: One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. During the year, UHS was again recognized as one of the World’s Most Admired Companies by Fortune; and listed in Forbes ranking of America’s Largest Public Companies. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom. www.uhs.com

Requirements

High School Diploma, GED or equivalent required
Minimum one (1) year experience in CMS HCC risk adjustment coding preferred
Successful completion of coding certification program (CCS,CPC, CRC, or RHIT through AHIMA/AAPC)
Will need to be well grounded in sound medical coding practices. Knowledge of HEDIS data collection is required
ICD-10 coding proficiency
Must have ability to meet 95% and above accuracy
Ability to effectively communicate in English, both verbally and in writing.
Proficient in Microsoft Office Suite, Word, Excel and Access
Excellent written and oral communication skills
Attention to the detail
Comfortable working in a department with set productivity and coding accuracy standards
Must have ability to work independently.

Nice To Haves

Experience with NCQA HEDIS programs and data collection preferred

Responsibilities

The Coder is responsible for accurate post review coding and documentation to support proper reimbursement from Medicare while ensuring organizational compliance.
Will perform post review production coding as well as medical record abstraction in support of the Healthcare Effectiveness Data and Information Set (HEDIS) data collection.