Coding and Documentation Consultant

Are we growing? Absolutely-62% in year-over-year revenue growth through 2015. Are we recognized? Definitely. We?re 12th on Forbes? list of America?s Most Promising Companies for 2015, one of ?Becker?s 150 Great Places to Work in Healthcare? in 2016, and our CEO was number one on Glassdoor?s 2015 Highest-Rated CEOs for Small and Medium Companies. If you?re looking for a place where your work can be personally and professionally rewarding, don?t just join a company with a mission. Join a mission with a company behind it.
What You?ll Be Doing:
The Coding & Documentation Consultant (CDC) demonstrates experience by correlating coding accuracy with correct HCC assignment. The CDC is responsible for conducting chart reviews, providing education, and coding medical records to improve (Risk Adjustment Factor) RAF scores. The CDC will comply with Coding and Corporate Compliance standards, abide by ethical standards, and adhere to official coding guidelines. The CDC will perform other duties as assigned. The individual in this role will perform the crucial task of assuring accuracy of codes from the listing of International Classification of Diseases, tenth Revision; (ICD-10 CM), while also providing internal coding support.
This position requires 75% travel.
Responsibilities
Analyzes data to prioritize educational reviews
Schedules and conducts chart reviews of providers - accomplished by traveling to the individual practices and performing the chart review onsite. This encompasses approximately 75% of the CDC?s time.
Assesses and interprets whether the coding assigned by the client was properly assigned based upon review of the medical documentation and application of the coding guidelines.
Implement education, where necessary, and provide formal training to providers and staff regarding coding & documentation standards
Assist, as needed, with HCC coding to meet departmental goalsdeadlines (10-15% of time)
Rely upon independent judgment and decision making while at a provider site, whether conducting an chart review or providing trainingeducation, both from historical andor real time data.
Work independently and rely on professional discretion and judgment.
Maintain strictest confidentiality based on HIPAA privacy policy.
Available Assist, as needed, with HCC coding to meet departmental goalsdeadlines and act as a SME to the team
Responsible for maintaining current knowledge of coding guidelines and relevant federal regulations through the use of current ICD-10 CM book, and other pertinent materials.
Assists with research, analysis, and response to inquiries regarding compliance, coding, and inappropriate coding. (5-10 % of time)
Compile data and present solutions regarding trends or patterns noticed in provider coding.
Create Policy and Procedures to be used within the department to support Best Practices.
Performs related work and projects as required.
The Experience You Need (Required):
Undergraduate degree or equivalent experience.
3-5 years of ICD-9ICD-10 coding assignments in a professional setting
Completion of coding certification course, AAPCAHIMA and possess a CPC, CCS or similar certification
2-4 years of experience with risk adjustment
A valid Driver?s license
Finishing Touches (Preferred):
Preferred RHIA Certification.
Knowledge, and adhere to, ICD-10outpatient coding guidelines
Excellent understanding of medical terminology, disease process and anatomy and physiology.
Strong computer skills (i.e. MS Office).
Excellent Organizational, interpersonal and customer service skills
Good Communication and public speaking skills.
Task oriented and able to meet designated deadlines, productivity standards and able to work independently
Supervisory experience a plus.
Evolent Health is an Equal OpportunityAffirmative Action Employer fd691a31720e4c58816f4cfe9440ec8a

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