Temporary, Risk Adjustment Coder

MVP Health CareSchenectady, NY
1dRemote

About The Position

Join Us in Shaping the Future of Health Care At MVP Health Care, we’re on a mission to create a healthier future for everyone. That means embracing innovation, championing equity, and continuously improving how we serve our communities. Our team is powered by people who are curious, humble, and committed to making a difference—every interaction, every day. We’ve been putting people first for over 40 years, offering high-quality health plans across New York and Vermont and partnering with forward-thinking organizations to deliver more personalized, equitable, and accessible care. As a not-for-profit, we invest in what matters most: our customers, our communities, and our team. What’s in it for you: Growth opportunities to uplevel your career A people-centric culture embracing and celebrating diverse perspectives, backgrounds, and experiences within our team Competitive compensation and comprehensive benefits focused on well-being An opportunity to shape the future of health care by joining a team recognized as a Best Place to Work For in the NY Capital District, one of the Best Companies to Work For in New York, and an Inclusive Workplace. You’ll contribute to our humble pursuit of excellence by bringing curiosity to spark innovation, humility to collaborate as a team, and a deep commitment to being the difference for our customers. Your role will reflect our shared goal of enhancing health care delivery and building healthier, more vibrant communities.

Requirements

  • High School Diploma or GED
  • Coding education including understanding of proper guidelines and usage of ICD-9-CM, CPT and HCPCS
  • RHIT – Registered Health Information Technologist or CPC-P – Certified Professional Coder (Physician) or CCS-P – Certified Coding Specialist (Physician) , and CRC-Certified Risk Adjustment Coding Credential required.
  • 1 year experience of physician billing or coding.
  • Strong analytical skills.
  • Ability to problem solve.
  • Detail oriented with high degree of accuracy.
  • Ability to exercise discretion in handling confidential member information.
  • Strong commitment to customer service and understanding and responding to customer needs within specific timeframes.
  • Valid NYS driver’s license and access to a reliable vehicle.
  • Proficiency with Microsoft Word, Excel and PowerPoint or comparable software required.
  • Proficiency with FACETS required within six months from date of hire.

Responsibilities

  • Identifies, collects, assesses, monitors and documents claim and encounter coding information as it pertains to CMS Hierarchical Condition Categories (HCC).
  • Actively participates in and supports the Medicare Risk Adjustment team-based environment to educate providers on coding compliance and consistency.
  • Works with the Coding Leader of Medicare Risk Adjustment to ensure coding compliance and appropriate reimbursement from CMS.
  • Performs other duties as assigned.
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