Risk Adjustment Coding Accuracy Specialist- Remote in USA

Risk Adjustment Coding Accuracy Specialist- Remote - Lumeris - USA - work from home job

Company: Lumeris

Job description: In order to apply for a position at Lumeris, you must create an account using your email address and a password of your choosing. This account will allow you to receive notifications each step of the way through the job application process. With these updates, you?ll never have to wonder where you are in the process. Additionally, we can easily send pertinent documents to you for your review. Once you create the account, you may apply to any position you feel is a good fit without having to re-enter information. Thank you for your interest in Lumeris.

Position: Risk Adjustment Coding Accuracy Specialist- Remote

Position Summary: Responsible for implementation of initiatives to improve documentation and coding accuracy for Lumeris clients. Regularly reviews provider medical records for accurate and complete documentation and coding. Supports retrospective chart reviews as well as pre-visit planning and post visit coding.

Job Description:

Primary Responsibilities: ? Reviews medical records in support or pre-visit planning and post-visit program for opportunities with complete and accurate documentation and coding ? Identifies chronic conditions for providers to review during patient visits ? Queries providers to ensure complete and accurate documentation and coding after patient visits ? Partners with providers and clinical/administrative staff to enhance understanding of Clinical Documentation Improvement program goals in order to achieve Risk Adjustment strategic goals and initiatives. ? Maintains current subject matter expertise by attending professional meetings, seminars, and related continuing education events. ? Collaborates with internal teams to assure client / project-specific goals are met.

Qualifications
? 3+ years of ICD-10 outpatient coding and provider query experience or the knowledge, skills, and abilities to succeed in the role
? CPC-I or CRC Certifications
? Strong knowledge of ICD-10-CM Coding Guidelines, E/M, CPT/HCPCS, CMS-HCC risk adjustment model, medical record review project management, encounter data management, and IPM/RADV Medical Record Reviewer Guidance
? Coding certification as CPC
? Demonstrated ability to work cross-functionally within corporate matrix environments
? Effective ability to collaborate and partner on complicated initiatives
? Firm verbal and written communication skills
? Favorable computer skills (i.e. Microsoft Office)
? #LI-REMOTE

Preferred:
? Associate degree or technical school

Working Conditions
? While performing the duties of this job, the employee works in normal office working conditions.

Disclaimer
? The job description describes the general nature and level of work being performed by people assigned to this job and is not intended to be an exhaustive list of all responsibilities, duties and skills required. The physical activities, demands and working conditions represent those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job duties and responsibilities.

Lumeris is an EEO/AA employer M/F/V/D.

The hiring range for this position is: $54,800.00-$73,250.00

Factors that may be used to determine your actual pay rate include your specific skills, experience, qualifications, location, and comparison to other employees already in this role. This role may also be eligible for incentive compensation. At Lumeris, we are committed to providing a total rewards package that supports your overall well-being. Our benefits include medical, vision, dental, well-being programs, 401(k) with company matching, life insurance, paid time off including paid leave, and so much more. Learn more by visiting our .

Member Facing Position: No- Not Member Facing Position

Location: United States

Time Type: Full time

Lumeris and its partners are committed to protecting our high-risk members & prospects when conducting business in-person. All personnel who interact with at-risk members or prospects are required to have completed, at a minimum, the initial series of an approved COVID-19 vaccine. If this role has been identified as member-facing, proof of vaccination will be required as a condition of employment.

Expected salary: $54800 - 73250 per year

Location: USA

Job date: Thu, 03 Aug 2023 07:20:05 GMT

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