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Accompany Health

Integrated, insurance-reimbursed medical and social care

Value Based Coder

Clinical Support & Patient AdministrationConfirmed live in the last 24 hours
Full-timeRemote in USA

About the Job

Requirements

  • Current certification as a Certified Professional Coder (CPC), Certified Risk Adjustment Coder (CRC), or equivalent.
  • At least 3 years of recent, relevant work experience in medical coding; risk adjustment experience is preferred.
  • Thorough understanding of medical coding guidelines and regulations, including compliance, reimbursement, and the impact of diagnosis documentation on risk adjustment payment models.
  • Subject matter expertise on the CMS HCC Risk Adjustment program, methodology, and impact to value-based contracts.

Responsibilities

  • Conduct concurrent reviews and provide feedback after face-to-face visits, in person or via telehealth, to ensure coding and documentation accurately capture patient health status.
  • Generate compliant queries when conflicts or clarification are needed in documentation, before claim submission.
  • Generate corrected claims when compliant note amendments are completed.
  • Provide guidance to field staff and practices regarding general coding, documentation, and risk adjustment best practices.
  • Partner with internal stakeholders to improve reporting and analytics tools to drive improvements in clinical documentation and diagnosis coding accuracy and completeness.
  • Review annual mapping updates of the ICD-10-CM crosswalk from the CMS website.
  • Perform other duties as assigned.
  • Escalate educational opportunities to improve clinical documentation in compliance with ICD-10-CM coding guidelines, internal protocols, and CMS and payer guidelines.

Desired Qualifications

  • Experience in risk adjustment medical coding.
  • Experience in pre-visit planning and provider education.
  • Experience with athenahealth.
  • Experience with GSuite and Google applications.

About the Company

Accompany Health

Integrated, insurance-reimbursed medical and social care

Accompany Health provides integrated medical, mental health, and social care services funded by insurance. Its services are delivered in coordination with clients’ existing providers to create a seamless care experience across medical, mental health, housing, and other social needs. It also offers help navigating insurance options and can connect clients with affordable dental services; legal support is available through partnerships with advisors. By relying on insurance reimbursements, the company aims to make comprehensive care accessible and affordable and to build ongoing relationships with clients.

Company size
201-500
Company stage
Series A
Total funding
$56M
Headquarters
Bethesda, MD
Founded
2022

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