Senior Coder - Risk Adjustment

UHS • Reno, NV

93d

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 Senior Coder is responsible for documentation and coding review of medical records where services are rendered at various partnered medical practices. Will work with assigned provider offices to ensure accurate reporting of diagnoses and service codes to support optimal performance in risk adjustment and quality measurement. The scope of work will include pre, post and wraparound visit input. The Senior Coder will be required to work occasionally onsite at the provider office and may require travel to out of state for in person provider education and training. The Senior Coder will be required to maintain consistent and reliable methods of communication to accommodate the hours and demands of providers’ schedules.
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

• University/college degree, or equivalent medical records, claims or billing experience
• 3+ years in CMS coding and documentation guidelines as well as HCC risk adjustment coding practices
• CRC Required.
• Must be credentialed through AAPC or AHIMA.
• 2+ years in Risk Adjustment Coding
• Experience working in a variety of EMRs and the ability to navigate and pick up EMR applications agree
• Strong understanding and knowledge of CMS Coding and Documentation Guidelines agree
• Demonstrated competency in HCC coding practices. agree
• Proficient with MS Office Suite (Word, Excel, Outlook), Internet and databases agree
• Knowledge of age-specific needs and elements of disease processes and related procedures required.
• Strong broad-based clinical knowledge and understanding of pathology/physiology of disease processes.
• Ability to read and write effectively in English
• Highly organized, proficient critical-thinking and analytical problem-solving skills
• May be required to be available beyond normal 8-5 working hours, including weekends, to accommodate office and provider hours) and to work occasionally onsite at a provider’s office
• Ability to work independently in a time oriented environment is essential.

Nice To Haves

• Additional Coding certification preferred (CCS, CPC, or RHIT)
• Working knowledge of inpatient admission criteria, Medicare reimbursement system and coding systems preferred, but not required.
• Previous medical office experience preferred.
• bi-lingual Spanish preferred

Responsibilities

• documentation and coding review of medical records
• ensure accurate reporting of diagnoses and service codes to support optimal performance in risk adjustment and quality measurement
• pre, post and wraparound visit input
• work occasionally onsite at the provider office and may require travel to out of state for in person provider education and training
• maintain consistent and reliable methods of communication to accommodate the hours and demands of providers’ schedules

Benefits

• 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

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Education Level: Associate degree
• Number of Employees: 1,001-5,000 employees