Risk Adjustment Coder

October 15

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Porter

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51 - 200

💰 $5.4M Venture Round on 2023-01

Description

• Porter is hiring a Risk Adjustment Coder to join our Team! • Porter combines the power of analytics with the power of care. • We deliver understanding, compassion, information, and peace of mind for your members. • Driven by robust AI analytics, Porter’s Care Guide team helps the member navigate the healthcare delivery system. • The ideal candidate will have a strong understanding of CMS risk adjustment and quality initiatives. • Exceptional attention to coding quality, and experience managing the provider query process required. • This role will be instrumental in ensuring the accuracy of coding and improving the efficiency of our assessment workflows. • A key expectation is that the Risk Adjustment Coder will maintain 98% coding accuracy. • Manage the provider query process to clarify documentation and ensure accuracy. • Handle multiple clients with varying coding requirements, maintaining high standards of accuracy. • Conduct regular audits to monitor coding quality and adherence to internal and external standards. • Maintain confidentiality and ensure full compliance with HIPAA regulations.

Requirements

• Certification in medical coding (e.g., CPC, CRC) required. • Minimum 5 years of experience in risk adjustment coding, with specific experience in in-home assessments. • Expertise in managing provider queries and improving provider documentation through coding feedback. • Proficiency in using coding clinics and reference tools for accurate coding and provider education. • Strong knowledge of CMS risk adjustment and quality initiatives, including Hierarchical Condition Categories (HCCs). • Experience with electronic medical records (EMR) and coding tools. • Excellent communication skills, with the ability to collaborate with providers and clinical teams to drive coding improvements. • Strong attention to detail, prioritizing coding quality and compliance. • Experience in coding audits and providing actionable feedback to providers. • Knowledge of healthcare reimbursement models and regulations impacting risk adjustment coding. • Prior experience in telehealth or in-home care settings.

Benefits

• Competitive salary and benefits package. • Opportunities for professional growth and continuing education. • A supportive, collaborative work environment.