Position ResponsibilitiesDemonstrates knowledge of coding and documentation standards as well as CMS risk adjustment guidelines and HCCs (hierarchical condition categories)Reviews medical record to ensure all diagnosis codes are documented for the assignment of a valid and accurate HCC for each episode of careRegularly reviews Epic HCC and payor CSI (Clinically Suspect Conditions) reportsQueries and provides feedback and education to physicians when identifying documentation deficiencies to improve accuracy of risk adjustment codingDemonstrates understanding of risk adjustment payment modelsUses clinical reasoning and critical thinking skills to discern the financial impact of a query in order to prioritize efforts most efficientlyCompletes patient medical chart review within 24-48 hours of visit completionResponsible for maintaining active status of coding credentials and completes annual continued education hours.Observes work hours and provides proper notice regarding absences and tardinessMaintains positive working relationship with Physician Practices, Managed Care and all other departments and communicates with office staff as needed.Performs other related duties.QualificationsLicense/Registration/CertificationCPC, CCS-P or CRC Certification RequiredEducationHigh School graduateExperienceFive plus years experience in Coding and Billing, Knowledge of ICD-10-CM and CPTBenefitsWe believe in the physical and mental well-being of our employees and are committed to offering comprehensive benefits that fit their personal needs:Health benefitsLife insuranceLong-term disability coverageHealthcare spending accountsRetirement planPaid time offPet InsuranceTuition reimbursementEmployee assistance programWellness programOn-site housing for select positions and more!