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Prisma Health · 1 month ago

Risk Adjustment Coder Professional Billing II, FT, Days, - Remote

United States

Full-time

Remote

Senior Level

5+ years exp

Prisma Health is dedicated to transforming healthcare for the communities they serve. They are seeking a Risk Adjustment Coder Professional Billing II to conduct reviews and communicate with providers regarding Hierarchical Condition Categories (HCC) coding opportunities.

Health CareHospitalMedical

Responsibilities

Conducts prospective review of charts to identify HCC opportunity

Conducts retrospective review of charts to confirm documentation supports reporting

Utilizes payor specific software to assist in capturing HCCs

Communicates with providers about HCC opportunities for improvement

Identifies suspect conditions that would potentially support reporting an HCC

Participates in education offerings

Participates in monthly meetings

Performs other duties as assigned

Qualification

Certified Professional Coder (CPC)Certified Risk Adjustment Coder (CRC)Hierarchical Condition Categories (HCC)Proficient computer skillsData entry skillsMathematical skillsOffice equipment