Joliet, Illinois
Risk Adjustment Coder Job Opening in Joliet, Illinois - Company: Oak Street Health
Title: Risk Adjustment Coder (Population Health)
Location: Joliet, IL
Oak Street Health is a network of value-based neighborhood primary care centers throughout the Midwest. Oak Street operates an innovative model that drives patient engagement, improves health outcomes, and manages medical costs for the older adult population. In this virtuous cycle: every dollar saved is another dollar we can reinvest to improve patient care. Our model supports our social mission of improving the health and happiness of our patients and the community.
Role Description
The Risk Adjustment Coder is a vital member of the Population Health Coding Department at Oak Street Health. S/he champions the organization's mission to provide high-quality patient care by providing measurable, actionable feedback to providers that will result in improved documentation accuracy and coding practice. The role will be asked to collaborate with doctors, coders, facility staff and a variety of internal and external personnel on a wide scope of Risk Adjustment and Quality education efforts.
Responsibilities
Review medical record information on both a retroactive and prospective basis to identify, assess, monitor and document claims and encounter coding information as it pertains to Hierarchical Conditional Categories (HCC)
Assess adequacy of documentation and query providers to obtain additional medical record documentation or to clarify documentation to ensure accurate and appropriate coding
Audit provider documentation of CPT, ICD-9 and ICD-10 codes to ensure adherence with CMS Risk Adjustment guidelines
Evaluate HCC auditing processes and provide analyses and recommendations to improve overall provider documentation and coding
Maintain and grow the current knowledge of the Medicare and Commercial Risk Adjustment billing systems/processes
Other duties as assigned
What we?re looking for
We?re looking for motivated, experienced ?position? with:
A flexible and positive attitude
Ability to work independently with minimum supervision, excellent reliability, and a positive attitude
CRC (?Certified Risk Coder?) credential highly favorable
Medicare Risk Adjustment (HCC) and ICD10 coding experience is required.
Strong communication skills
Strong computer skills and basic knowledge of Microsoft Excel
US work authorization
Why Oak Street?
Oak Street Health offers our coworkers advantages that can?t be found in other clinical workplaces, including:
The opportunity to be part of a hyper-growth company focused on changing the future of healthcare.
Paid vacation/sick time, retirement options, as well as health, vision and dental benefits
Supportive and fun culture
Opportunity to be at the forefront of a revolution in healthcare
Why does Oak Street Health offer all of these benefits? Because we know what it takes to deliver the highest level of care, and our team deserves the best resources to succeed and enjoy their work. In return, we expect the best out of our co-workers.
Oak Street Health is an equal opportunity employer. We embrace diversity and encourage all interested readers to apply to /careers
Job Type: Full-time
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