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Risk Adjustment Coding Specialist II Full Time

Company: Trinity-Health
Location: Idaho City
Posted on: June 25, 2022

Job Description:

Employment Type:Full timeShift:Description:At Saint Alphonsus Health System, we are looking for people who are living out their calling. We want you to be passionate about coming to work, and challenged to achieve your potential. Living by these virtues, we pride ourselves on exceptional service and the highest quality of care.Saint Alphonsus is looking to hire a Risk Adjustment Coding Specialist II for our SAMG Population Health. This position will be located in Boise, but will have the opportunity to work from home. It is full time, 40hours a week, and is benefit eligible.The Risk Adjustment Coding Specialist will be responsible for the creation and/or compilation of educational materials and conducting coding and documentation education with providers, the clinic care team and coding/billing staff The Risk Adjustment Coding Specialist may also conduct medical record audits for risk adjustment and core quality measures and assist with other performance improvement initiatives that promote the success of Advanced Payment Model (APM) contracts.The position is responsible to work with all applicable payer partners for varying arrangements spanning across Medicare, Medicare Advantage, Commercial, QHP and Medicaid, and will leverage data and reports to maximize clinical condition documentation (CCD), and will become familiar with risk adjustment methodologies as applicable (HCC/RAF, HHS, MARA, Johns Hopkins, etc.) The Risk Adjustment Coding Specialist will provide insights and direct contributions to the development of analytics and reporting to enhance providers' ability to document and code to the highest level of specificity and improve coding and recapture rates as is clinically appropriate. The role will maintain strict confidentiality of all data and information.The Risk Adjustment Coding Specialist will develop and maintain collaborative relationships with internal and external partners to ensure effective, results-oriented project outcomes.General Requirements: Minimum of 2 years of experience working in risk adjustment coding in a medical practice, network or payer setting using electronic health records (EHR) required.Chart auditing experience preferred. Minimum of 4 years coding experience required Education: High school diploma or equivalent required.Associates/Bachelor's Degree or some college preferred. License/Certification: Certified Risk Adjustment Coder (CRC) required. AAPC or AHIMA coding credential required. Colleagues of Saint Alphonsus Health System enjoy competitive compensation with a full benefits package and opportunity for growth throughout SAHS and Trinity Health. learn more about the benefits, culture and career development opportunities available to you at Saint Alphonsus Health System.Saint Alphonsus and Trinity Health are committed to promoting diversity in its workforce and to providing an inclusive work environment where everyone is treated with fairness, dignity and respect. We are committed to recruit and retain a diverse staff reflective of the communities we serve. Saint Alphonsus and Trinity Health are equal opportunity employers and prohibit discrimination against any individual with regard to race, color, religion, gender, marital status, national origin, age, disability, sexual orientation, or any other characteristic protected by law. Our Commitment to Diversity and Inclusion Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity.

Keywords: Trinity-Health, Boise , Risk Adjustment Coding Specialist II Full Time, Other , Idaho City, Idaho

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