[Hiring] Risk Adjustment Coder @Village Care

Role Description

Join VillageCare as a Full Time Risk Adjustment Coder and embrace the opportunity to work remotely while making a significant impact in the Health Care sector. This role offers the flexibility of a work-from-home environment, allowing you to balance your professional and personal commitments without the daily commute. You'll be part of a dynamic team that thrives on innovation, problem-solving, and a customer-centric approach, all while contributing to the excellence and integrity that VillageCare stands for.

Your responsibilities will include:

• Performing critical code abstraction of medical records, ensuring accurate assignment of ICD-9-CM, ICD-10-CM, CPT, and HCPCS codes supported by clinical documentation.
• Conducting comprehensive reviews of medical records to validate that documentation meets CMS requirements, including provider signatures and relevant dates.
• Identifying improvement opportunities in documentation and coding processes.
• Participating in quality initiatives that enhance overall outcomes.
• Maintaining current knowledge of coding standards and regulations.
• Supporting the Medicare Risk Adjustment team in educating providers on compliance and consistency.
• Reporting findings from audits and assisting in analysis.
• Maintaining a minimum accuracy of 95% on coding quality audits while meeting productivity requirements.

Qualifications

• Strong knowledge of clinical terminology, disease processes, anatomy/physiology, and pharmacology.
• 5 recent years of HCC/Risk Adjustment and/or inpatient coding experience.
• Certified through AAPC or AHIMA (CPC, CRC, RHIT, or RHIA).
• Must reside in NY, NJ, or CT.

Requirements

• Exceptional attention to detail.
• Basic computer skills.
• Ability to maintain a productive home office environment with high-speed internet.
• Strong knowledge of claims processing procedures and systems.
• Understanding of state, federal, and Medicare regulations and Coordination of Benefits applications.
• Strong problem-solving skills and a commitment to coding excellence.

Benefits

• PTO package.
• 10 Paid Holidays.
• Personal and Sick time.
• Medical/Dental/Vision.
• HRA/FSA.
• Education Reimbursement.
• Retirement Savings 403(b).
• Life and Disability.
• Commuter Benefits.
• Paid Family Leave.
• Additional Employee Discounts.

Company Description

VillageCare is a community-based, not-for-profit organization serving people with chronic care needs, as well as seniors and individuals in need of continuing care and managed care services. Our mission is to promote healing, better health, and well-being to the fullest extent possible. Our care is offered through a comprehensive array of community and residential programs, as well as managed care. VillageCare has delivered quality health care services to individuals residing within New York City for over 45 years.