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Risk Adjustment Coder II
Confirmed live in the last 24 hours
Locations
Remote
Experience Level
Entry
Junior
Mid
Senior
Expert
Requirements
  • A resume and/or LinkedIn profile
  • A short cover letter, please!
Responsibilities
  • Serve as the subject matter expert on Medicare HCC documentation requirements and ICD-10-CM coding guidelines with knowledge of Medicaid CDPS model a plus
  • Query providers to ensure that appropriate documentation appears in the medical record to support the captured codes
  • Audits Coder I for accuracy of captured risk adjustable codes
  • Maintain log of all documentation audits / reviews and conduct ongoing follow up activities and communication for uncompleted or unanswered queries
  • Maintain professional communication with provider teams
  • Ensure adherence to Cityblock's coding guidelines and any necessary updates are shared across the teams
  • Develop a foundational understanding of existing EMRs and processes to surface risk opportunities
  • Comply with all legal requirements regarding coding procedures and practices
  • Four years experience (2+ Risk Adjustment (HCC) coding and 2+ years of auditing)
  • AAPC or AHIMA certified risk coder a must CPC plus CRC or equivalent
  • Strong knowledge of medical terminology, physiology, pharmacology, and disease processes and related procedures
  • Ability to follow ICD-10 CM, Coding Clinic, internal coding guidelines and documentation for CBH aligned beneficiaries
  • Knowledge of risk adjustment (HCCs), guiding principles, and reimbursement methodology
  • Ability to flourish in fast-paced environments, work independently, and can identify individual opportunities for success
  • Excellent attention to detail, data-driven, and tech-savvy
  • Demonstrates excellent written and verbal communication and critical thinking skills
  • Strong ability to effectively build relationships and collaborate with coworkers and clinicians
Cityblock Health

201-500 employees

Tech-driven healthcare provider
Company Overview
Cityblock's mission is to improve the health of underserved communities by creating solutions that are designed specifically for Medicaid and lower-income Medicare beneficiaries. The company delivers better care to where it’s needed most, investing upstream in highly personalized, prevention-oriented health and social care to ultimately drive down costs and improve outcomes.
Benefits
  • Comprehensive health, dental, & vision coverage
  • 12 weeks parental leave
  • 401(k)
  • 20 days vacation
  • Company retreats & events
Company Core Values
  • Put members first
  • Aim for understanding
  • Be all in