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

Inspire health. Serve with compassion. Be the difference.

Job Summary

Essential Functions

• All team members are expected to be knowledgeable and compliant with Prisma Health's values: Inspire health. Serve with compassion. Be the difference.

• 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.

Supervisory/Management Responsibilities

• This is a non-management job that will report to a supervisor, manager, director or executive.

Minimum Requirements

• Education - High School diploma or equivalent or post-high school diploma / highest degree earned. Associate degree preferred

• Experience - Five (5) years professional fee coding experience

In Lieu Of

• NA

Required Certifications, Registrations, Licenses

• Certified Professional Coder (CPC), and

• Certified Risk Adjustment Coder (CRC)

Knowledge, Skills and Abilities

• Knowledge of office equipment (fax/copier)

• Proficient computer skills including word processing, spreadsheets, database

• Data entry skills

• Mathematical skills

Work Shift

Location

Facility

Department

Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.