HCC Coder

Location: 
MCSS-MemorialCare Shared Svcs
Schedule: 
Full Time
Shift: 
Day Job
Job Listing: 
MEM003691
Health- Information Management Transcription

The HCC Coder is responsible for performing HCC audits and chart reviews focused on accurate diagnosis coding throughout the foundation and formatting feedback for provider education sessions.

Essential Functions and Responsibilities of the Job

  • Perform chart review and documentation audits focused on accurate diagnosis coding
  • Analyze physician billing practices and completeness of claims submissions
  • Communicate findings to HCC Clinical Education Team and/or physicians as needed
  • Enhance any other skills needed to add value to the risk adjustment department deliverables
  • Become subject matter expert in the HCC model and risk adjustment
  • Develop knowledge of foundation programs and structure
  • Be at work and be on time
  • Follow company policies, procedures and directives
  • Interact in a positive and constructive manner
  • Prioritize and multitask
Qualifications: 

Essential Job Outcomes

  • Independently perform chart review and documentation audits focused on accurate diagnosis coding and communicate results effectively
  • Working knowledge of foundation structure and programs
  • Use Word, PowerPoint and Excel to formulate feedback reporting to providers as directed
  • Retrieve medical records through EMR, fax or in-office retrievals to support various audits and education projects
  • Professional and clear communication with team and provider offices as required for projects and job functions
  • Ability to work in fast paced environment and flexibility to work on multiple projects simultaneously
  • Update educational tools and materials as directed by HCC Clinical Supervisor
  • Meet deadlines and productivity standards as set by HCC Clinical Supervisor
  • Compliance with MemorialCare standards and practices
  • �Other duties as assigned�

Experience

  • Knowledge of ICD-10, CPT and HCPCS coding, with emphasis on diagnosis codes
  • Demonstrates effective written and verbal communication, interpersonal and organizational skills
  • Healthcare and/or managed care experience a plus
  • Proficiency in Microsoft Office (Excel, Word, PowerPoint)
  • Detail-oriented and organized with excellent follow-through skills
  • Must be able to work in a fast-paced environment. Demonstrate ability to be independent and flexible
  • Must be able to work on-site in office

Education

  • High School Degree
  • CPC Certification
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