Risk Adjustment Coder

VillageCare•New York, NY

33d•Remote

About The Position

Join VillageCare as a Full Time Risk Adjustment Coder and embrace the opportunity to work remotely while making a significant impact in the Health Care sector. This role offers the flexibility of a work-from-home environment, allowing you to balance your professional and personal commitments without the daily commute. You'll be part of a dynamic team that thrives on innovation, problem-solving, and a customer-centric approach, all while contributing to the excellence and integrity that VillageCare stands for. With a competitive salary up to $77,506.87 - $87,195.23, this is not just a job but a chance to build your career in a forward-thinking organization dedicated to healthcare improvement. As a team member you'll be able to enjoy benefits such as PTO package, 10 Paid Holidays, Personal and Sick time, Medical/Dental/Vision, HRA/FSA, Education Reimbursement, Retirement Savings 403(b), Life and Disability, Commuter Benefits, Paid Family Leave, and Additional Employee Discounts. Seize the opportunity to grow in a high-performance culture that values your contributions. Apply today and help shape a healthier future! VillageCare is a community-based, not-for-profit organization serving people with chronic care needs, as well as seniors and individuals in need of continuing care and managed care services. Our mission is to promote healing, better health and well-being to the fullest extent possible. Our care is offered through a comprehensive array of community and residential programs, as well as managed care. VillageCare has delivered quality health care services to individuals residing within New York City for over 45 years. As a Full Time Risk Adjustment Coder at VillageCare in New York, NY, you will perform critical code abstraction of medical records, ensuring accurate assignment of ICD-9-CM, ICD-10-CM, CPT, and HCPCS codes supported by clinical documentation. Your role involves a comprehensive review of medical records, validating that documentation meets CMS requirements, including provider signatures and relevant dates. You will identify improvement opportunities in documentation and coding processes and participate in quality initiatives that enhance overall outcomes. By maintaining current knowledge of coding standards and regulations, you will support the Medicare Risk Adjustment team in educating providers on compliance and consistency. Your contributions will include reporting findings from audits, assisting in analysis, and maintaining a minimum accuracy of 95% on coding quality audits while meeting productivity requirements. This is an exciting opportunity to make a meaningful impact in healthcare while advancing your coding expertise.

Requirements

Strong knowledge of clinical terminology, disease processes, anatomy/physiology and pharmacology
Have high speed internet at their house and a distraction free home office
Must be detail oriented and have basic computer skills
Strong knowledge of claims processing procedures and systems
State, Federal and Medicare Regulations and Coordination of Benefits applications required
Must reside in NY, NJ or CT
5 recent years of HCC / Risk Adjustment and/or inpatient coding are required
Certified through AAPC or AHIMA(CPC, CRC, RHIT or RHIA)
CPC, CCS, RHIT or RHIA and CRC are required

Responsibilities

Perform critical code abstraction of medical records, ensuring accurate assignment of ICD-9-CM, ICD-10-CM, CPT, and HCPCS codes supported by clinical documentation.
Comprehensive review of medical records, validating that documentation meets CMS requirements, including provider signatures and relevant dates.
Identify improvement opportunities in documentation and coding processes and participate in quality initiatives that enhance overall outcomes.
Maintain current knowledge of coding standards and regulations
Support the Medicare Risk Adjustment team in educating providers on compliance and consistency.
Report findings from audits and assist in analysis
Maintain a minimum accuracy of 95% on coding quality audits while meeting productivity requirements.