Coding Specialist - Risk Adjustment
What you can expect!
Find joy in serving others with IEHP! We welcome you to join us in healing and inspiring the human spirit and to pivot from a job opportunity to an authentic experience!
Under the direction of the Manager of Risk Coding, the Coding Specialist - Risk Adjustment is responsible for ongoing review of electronic and paper based medical charts to ensure accuracy, completeness and specificity of codes captured in the encounter submission in compliance with the regulatory reporting requirements. The Coding Specialist - Risk adjustment will provide subject matter expertise to assist physicians and healthcare providers in understanding the importance of quality data programs as it relates to payment methodology, and the importance of proper chart documentation of diagnoses coding.
Commitment to Quality: The IEHP Team is committed to incorporate IEHPs Quality Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation.
Perks
IEHP is not only committed to healing and inspiring the human spirit of our Members, but we also aim to match our team members with the same energy by providing prime benefits and more.
Competitive salary.
CalPERS retirement.
State of the art fitness center on-site.
Medical Insurance with Dental and Vision.
Life, short-term, and long-term disability options
Career advancement opportunities and professional development.
Wellness programs that promote a healthy work-life balance.
Flexible Spending Account Health Care/Childcare
CalPERS retirement
457(b) option with a contribution match
Paid life insurance for employees
Pet care insurance
Education & Requirements
Minimum two (2) years of experience in coding
Must have strong chart audit experience in HCC coding
AHIMA, or APCC certified coder experienced in managed care, program/project management, data analysis and interpretation
High school diploma or GED required
AHIMA or AAPC Certified Coder required
CRC certification preferred
Key Qualifications
Must have a valid California Driver's license and valid automobile insurance. Must qualify and maintain driving record to drive company vehicles based on IEHP insurance standards of no more than three (3) points
Working knowledge of HCC coding requirements, ICD-10 and CPT guidelines are required
Knowledge in risk adjustment models for Covered CA or Medi-Cal is preferred
Excellent written, oral, and presentation skills is required
Proficiency in Microsoft Word, Excel, PowerPoint
Ability to take general direction and manage complex projects within deadlines
Attention to details and the ability to organize and prioritize is required
Start your journey towards a thriving future with IEHP and apply TODAY!
Pay Range
$71,572.80 USD Annually - $93,038.40 USD Annually
Apply Now
Find joy in serving others with IEHP! We welcome you to join us in healing and inspiring the human spirit and to pivot from a job opportunity to an authentic experience!
Under the direction of the Manager of Risk Coding, the Coding Specialist - Risk Adjustment is responsible for ongoing review of electronic and paper based medical charts to ensure accuracy, completeness and specificity of codes captured in the encounter submission in compliance with the regulatory reporting requirements. The Coding Specialist - Risk adjustment will provide subject matter expertise to assist physicians and healthcare providers in understanding the importance of quality data programs as it relates to payment methodology, and the importance of proper chart documentation of diagnoses coding.
Commitment to Quality: The IEHP Team is committed to incorporate IEHPs Quality Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation.
Perks
IEHP is not only committed to healing and inspiring the human spirit of our Members, but we also aim to match our team members with the same energy by providing prime benefits and more.
Competitive salary.
CalPERS retirement.
State of the art fitness center on-site.
Medical Insurance with Dental and Vision.
Life, short-term, and long-term disability options
Career advancement opportunities and professional development.
Wellness programs that promote a healthy work-life balance.
Flexible Spending Account Health Care/Childcare
CalPERS retirement
457(b) option with a contribution match
Paid life insurance for employees
Pet care insurance
Education & Requirements
Minimum two (2) years of experience in coding
Must have strong chart audit experience in HCC coding
AHIMA, or APCC certified coder experienced in managed care, program/project management, data analysis and interpretation
High school diploma or GED required
AHIMA or AAPC Certified Coder required
CRC certification preferred
Key Qualifications
Must have a valid California Driver's license and valid automobile insurance. Must qualify and maintain driving record to drive company vehicles based on IEHP insurance standards of no more than three (3) points
Working knowledge of HCC coding requirements, ICD-10 and CPT guidelines are required
Knowledge in risk adjustment models for Covered CA or Medi-Cal is preferred
Excellent written, oral, and presentation skills is required
Proficiency in Microsoft Word, Excel, PowerPoint
Ability to take general direction and manage complex projects within deadlines
Attention to details and the ability to organize and prioritize is required
Start your journey towards a thriving future with IEHP and apply TODAY!
Pay Range
$71,572.80 USD Annually - $93,038.40 USD Annually
Apply Now