Supervisor Risk Adjustment & Quality Assurance Coder (HCC)
Full TimeKelsey-Seybold Clinic is Houston’s premier multispecialty group practice, founded in 1949 by Dr. Mavis Kelsey. With 19 clinic locations and more than 400 physicians, Kelsey-Seybold provides medical care in 55 medical specialties and is home to a nationally accredited Breast Diagnostic Center, Endoscopy Center, Infusion Center, and Cancer Center. Our mission is to provide our team members with exceptional opportunities for professional and personal growth.
Assist with the development, implementation, and oversight of team projects. Assist with the development of the HCC coding team by providing education, answering questions, troubleshooting problems, and assisting with code/diagnosis research. Ensure the accurate coding of diagnoses that fall into the HCC model as required by CMS for Medicare Advantage plans. Ensure documentation of diagnoses meets the requirements set forth by CMS and the Official ICD-10-CM Guidelines for Coding and Reporting.
Requirements include:
- Associate’s degree or equivalent experience
- 2-3 years Internal, or 4-5 years external, experience in HCC specific coding/auditing.
- Experience in a broad range of HCC related audit types and/or projects.
- Experience auditing physicians and coders.
- Experience in physician documentation/coding education. Experience in educating/training coders. ICD-10-CM Coding knowledge.
- Proof of 10+ hours ICD-10-CM training or AAPC ICD-10-CM Assessment certificate.
- Either CPC (Certified Professional Coder) or CCS-P (Certified Coding Specialist-Physician) and CRC (Certified Risk Adjustment Coder)
- Thorough understanding of Risk Adjustment, HCC coding, ICD coding, and RADV requirements.
- Knowledge of Medicare Advantage and other HCC entity program coding requirements.
- Proficient in Word, Excel, and Outlook.
- Excellent communication, presentation, and analytical skills.
- Bachelor’s degree in health-related field preferred
Consider Kelsey-Seybold Clinic
- Comprehensive Benefits
- Competitive Salary
- Free Parking
- Monday-Friday, 8a-5p
If you want a satisfying career and a rich, rewarding personal life, don’t choose between them.
Achieve them both at Kelsey-Seybold Clinic.
We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status.
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