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Risk Adjustment Documentation Analyst
Posted on 11/8/2022
INACTIVE
Locations
Remote
Experience Level
Entry
Junior
Mid
Senior
Expert
Desired Skills
PowerPoint/Keynote/Slides
Word/Pages/Docs
Excel/Numbers/Sheets
Requirements
  • A resume and/or LinkedIn profile
  • A short cover letter, please!
Responsibilities
  • Research clinical coding questions using the following governing bodies as guidance; CMS, ICD, CPT, CDPS, AHA Coding Clinic resources as needed
  • Support the CDI/Coding team in research initiatives required to develop coding/compliance alerts to foster coding and clinical consistency
  • Support the Director, CDI Manager, CDI Auditor & Coding Manager by providing references for coding determinations and training materials
  • Update the content/aesthetics of training materials used by the coders, CDI Specialists & clinical staff
  • Facilitate and maintain the development of shared drives to house all clinical content developed
  • Support the Director, CDI and the broader team as a subject matter expert and resource to the team of clinical documentation and coding specialists
  • May take on additional responsibilities as they arise
  • Must have have 5+ years of overall experience in the medical industry
  • 2+ years of outpatient Risk Adjustment experience with strong knowledge of risk adjustment guiding principles and reimbursement methodology for Medicare HCC and Medicaid CDPS models
  • AAPC or AHIMA certified coder of CPC and/or CCS a must with CRC a plus
  • Proficiency in Google Docs including Google Sheets, Google Slides, Google Forms, etc
  • General knowledge of CPT medical procedures, E&M leveling, modifiers and POS criteria
  • Experience utilizing multiple applications to research Value Based Care regulations with ability to manipulate data
  • Demonstrated competencies in the learning and development process, including creation of materials for coding & clinical staff
  • Knowledge of medical terminology, physiology, pharmacology, and disease processes and related procedures
  • Ability to flourish in fast-paced environments, work independently, and can identify your own opportunities for success
  • Excellent written and verbal communication skills and critical thinking skills
  • Strong ability to effectively build relationships and collaborate with coworkers and clinicians
  • Bachelor's Degree in healthcare, healthcare administration, business, or related field a plus
  • It is expected that all certifications, licenses, etc. are renewed by the expiration date to remain compliant
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