VMG Risk Adjustment Coder - CRC within 6 months! (Remote)

Virtua Health

72d • $26 - $40

About The Position

At Virtua Health, we exist for one reason – to better serve you. That means being here for you in all the moments that matter, striving each day to connect you to the care you need. Whether that's wellness and prevention, experienced specialists, life-changing care, or something in-between – we are your partner in health devoted to building a healthier community. If you live or work in South Jersey, exceptional care is all around. Our medical and surgical experts are among the best in the country. We assembled more than 14,000 colleagues, including over 2,850 skilled and compassionate doctors, physician assistants, and nurse practitioners equipped with the latest technologies, treatments, and techniques to provide exceptional care close to home. A Magnet-recognized health system ranked by U.S. News and World Report, we've received multiple awards for quality, safety, and outstanding work environment. In addition to five hospitals, seven emergency departments, seven urgent care centers, and more than 280 other locations, we're committed to the well-being of the community. That means bringing life-changing resources and health services directly into our communities through our Eat Well food access program, telehealth, home health, rehabilitation, mobile screenings, paramedic programs, and convenient online scheduling. We're also affiliated with Penn Medicine for cancer and neurosciences, and the Children's Hospital of Philadelphia for pediatrics.

Requirements

• Minimum of two years records coding experience or equivalent.
• Ability to perform functions in a Microsoft Windows environment.
• Ability to be detail oriented and perform tasks at a high level of accuracy.
• Ability to make sound decisions.
• Demonstrate good communication and teamwork skills.
• Previous experience with an electronic legal health record system.
• Understand the anatomy, pathophysiology, and medical terminology necessary to correctly code diagnoses.
• Understands medical coding guidelines and regulations including compliance and reimbursement and the impact of diagnosis coding on risk adjustment payment models.

Responsibilities

• Evaluates and analyzes medical records for proper documentation.
• Identifies and communicates coding deficiencies to clinicians in order to improve documentation for accurate risk adjustment coding.
• Provides on-going training and education to the clinicians and physicians during 1:1, physician group, performance improvement and ad hoc meetings.
• Manages and trends data collection for HCC and other risk coding.
• Performs data mining from data captured through risk adjustment coding.
• Works with Manager and Director of VMG Quality Department to strategize and prioritize chart reviews and education.
• Assists with the development of action plans to improve documentation.
• Completes chart reviews for various Values Based Programs focusing on annual review of suspect chronic conditions; utilizes payer portals as necessary to complete annual coding reviews.

Benefits

• Medical/prescription insurance
• Dental insurance
• Vision insurance
• Health and dependent care flexible spending accounts
• 403(b) retirement plan
• Paid time off
• Paid sick leave
• Short-term disability
• Optional long-term disability
• Colleague and dependent life insurance
• Supplemental life and AD&D insurance
• Tuition assistance
• Employee assistance program including free counseling sessions

What This Job Offers

• Job Type: Full-time
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees