Risk Adjustment Coding Specialist supporting risk adjustment efforts through chart reviews and provider education. Estimated travel up to 75% in Inland Empire region, specifically LA or Orange County.
About the role
- Medical Coder at Astrana Health extracting and reviewing diagnosis codes from hospital records. Ensuring compliance with coding guidelines and maintaining accuracy in projects.
Responsibilities
- Extract diagnosis codes (specifically HCC codes) and CPT codes from hospital records.
- Reviews medical records to determine if specific disease conditions were correctly reported based on documentation.
- Follow the coding guidelines
- Ensures project activities are in compliance with applicable coding guidelines, government and federal regulations.
- Regularly and consistently meet quality and productivity standards established by management
- Maintain ongoing communication with management regarding coding workload, turnaround time expectations and deliverables.
- Additional duties as necessary to meet the obligations to our providers
- Maintains at least 95% accuracy in all coding projects by researching literature and attending professional seminars, workshops and conference as required by AAPC and/or AHIMA to maintain professional certification(s).
Requirements
- Have a current coding certification (CPC, CRC, CCS) through AAPC and/or AHIMA
- Minimum of 2-3 years coding experience
- Have risk adjustment experience
- Additional experience with specific knowledge of HCC preferred
Benefits
- Our organization follows a hybrid work structure where the expectation is to work both in office and at home on a weekly basis. The office is located at 1680 S Garfield Avenue, Alhambra, CA 91801
- The total compensation target pay rate for this role is: $22.00 - $26.00/hr. The pay range represents our national target range for this role.
- Astrana Health is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. All employment is decided on the basis of qualifications, merit, and business need. If you require assistance in applying for open positions due to a disability, please email us at [email protected] to request an accommodation.
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