Simplify Logo

Full-Time

Value Based Care Coder

Posted on 10/18/2024

Accompany Health

Accompany Health

51-200 employees

Comprehensive medical and mental health services

Financial Services
Healthcare
Legal

Compensation Overview

$32 - $36Hourly

Mid

Remote in USA

Category
Healthcare Administration & Support
Medical, Clinical & Veterinary
Requirements
  • Current certification as a Certified Professional Coder (CPC), Certified Risk Adjustment Coder (CRC), or equivalent
  • 3+ years of recent, relevant work experience in medical coding, preferably in risk adjustment
  • 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
  • Prospective reviews of medical records to identify current conditions and suspect conditions
  • Concurrent review/real time education support and feedback during patient face-to-face visit to ensure coding and documentation accurately captures patient health status
  • 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 the accuracy and completeness of clinical documentation and diagnosis coding
  • Reviews annual mapping of ICD-10 CM crosswalk from CMS Website
  • Other duties as assigned.

Accompany Health provides a range of medical, mental health, and social care services, focusing on individuals whose insurance covers these services at no cost. The company aims to deliver personalized and integrated care solutions, assisting clients with medical issues, mental health support, and social services like housing and food. By leveraging insurance coverage, Accompany Health ensures that most clients can access these services without out-of-pocket expenses, promoting inclusivity in healthcare. The company collaborates with legal advisors for additional support, although some services may incur charges. Revenue is generated primarily through insurance reimbursements, and by working closely with clients' healthcare providers, Accompany Health creates a seamless care experience. The goal is to enhance the quality of care and build long-term relationships with clients, making healthcare more accessible and affordable.

Company Stage

Series A

Total Funding

$56M

Headquarters

Bethesda, Maryland

Founded

2022

Growth & Insights
Headcount

6 month growth

21%

1 year growth

341%

2 year growth

341%
Simplify Jobs

Simplify's Take

What believers are saying

  • The recent $56M funding round positions Accompany Health for significant growth and expansion, enhancing its ability to serve low-income patients.
  • Their integrated care model fosters long-term relationships with clients, ensuring sustained revenue through repeat engagements.
  • By focusing on underserved populations, Accompany Health addresses a critical gap in the healthcare market, potentially leading to high client loyalty and positive social impact.

What critics are saying

  • Relying heavily on insurance reimbursements could pose financial risks if there are changes in insurance policies or reimbursement rates.
  • The complexity of integrating medical, mental health, and social care services may lead to operational challenges and inefficiencies.

What makes Accompany Health unique

  • Accompany Health uniquely integrates medical, mental health, and social care services, providing a holistic approach to healthcare that many competitors lack.
  • Their business model leverages insurance coverage to offer services at no out-of-pocket cost, making healthcare more accessible and affordable for clients.
  • The inclusion of legal support services, although sometimes chargeable, adds an extra layer of comprehensive care that sets them apart from traditional healthcare providers.

Help us improve and share your feedback! Did you find this helpful?