Risk Adjustment Coder

Risk Adjustment Coder
Change Healthcare is a leading healthcare technology company with a mission to inspire a better healthcare system. We deliver innovative solutions to patients, hospitals, and insurance companies to improve clinical decision making, simplify financial processes, and enable better patient experiences to improve lives and support healthier communities.
Overview of PositionChange Healthcare is hiring for full time Risk Adjustment Medical Coder who will identify members' health conditions, so health plans have appropriate payments to cover care.
We offer:
- 100% work from home
- Flexible working schedule
- Paid training
What will be my duties and responsibilities in this job?
- Assign appropriate ICD-10-CM codes, mapping to risk adjustment models as applicable
- Assign Change Healthcare Flagged Event codes when documentation in the record is inadequate, ambiguous, or otherwise unclear for medical coding purposes
- Comply with the Standards of Ethical Coding as set forth by the American Health Information Management Association and adhere to official coding guidelines
- Comply with HIPAA laws and regulations
- Maintain quality and production standards required by company - all medical coders must maintain minimum QA passing requirements. Quality expectations are 95% accuracy on all projects.
- Remain current on diagnosis coding guidelines and risk adjustment reimbursement reporting requirements
What are the requirements needed for this position?
- Active certified coder certification (CRC, CPC, CCS - P) through AHIMA or AAPC
- Minimum 2 years of experience as a certified coder
- Minimum 1 year of risk adjustment experience
- Ability to code using an ICD-10-CM code book
- Computer proficiency (including MS Windows, MS Office, and the Internet
- High-speed Internet access
What other skills/experience would be helpful to have?
- Knowledge of HIPAA, recognizing a commitment to privacy, security and confidentiality of all medical chart documentation
- Strong clinical knowledge related to chronic illness diagnosis, treatment and management
- Extensive knowledge of ICD-10-CM outpatient diagnosis coding guidelines (knowledge and demonstrated understanding of Risk Adjustment coding and data validation requirements is highly preferred)
- Reliability and a commitment to meeting tight deadlines
- Personal discipline to work remotely without direct supervision
- Exemplary attention to detail and completeness
- Strong organization, interpersonal, and customer service skills
- Written and oral communication skills
- Analytical skills
What are the working conditions and physical requirements of this job?
General office demands
Diversity and Inclusion:
•At Change Healthcare, we include all. We celebrate diversity and inclusivity, respect each other and value our unique experiences. By being our authentic selves, we bring different perspectives into our work and relationships.•Business Resource Groups (BRGs) play a central role in advancing diversity and inclusion at Change Healthcare. They deepen our understanding of different cultures, people, and experiences, and help foster an inclusive workplace. Change offers eight (8) BRGs. Learn more at https://careers.changehealthcare.com/diversity Feeling Inspired? Ready to #MakeAChange? Apply today!
COVID Vaccination Requirements
We remain committed to doing our part to ensure the health, safety, and well-being of our team members and our communities. As such, we require all employees to disclose COVID-19 vaccination status prior to beginning employment and, when j ob-related and consistent with business necessity , we may require periodic testing for certain roles. Some roles require full COVID-19 vaccination as an essential job function. Change Healthcare adheres to COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance.
Equal Opportunity/Affirmative Action Statement
Change Healthcare is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, genetic information, national origin, disability, or veteran status. To read more about employment discrimination protections under federal law, read EEO is the Law at https://www.eeoc.gov/employers/eeo-law-poster and the supplemental information at https://www.dol.gov/ofccp/regs/compliance/posters/pdf/OFCCP\EEO\Supplement\Final\JRF\QA\508c.pdf.
If you need a reasonable accommodation to assist with your application for employment, please contact us by sending an email to [email protected] with "Applicant requesting reasonable accommodation" as the subject. Resumes or CVs submitted to this email box will not be accepted.
Click here https://www.dol.gov/ofccp/pdf/pay-transp\%20English\formattedESQA508c.pdf to view our pay transparency nondiscrimination policy.
California (US) Residents: By submitting an application to Change Healthcare for consideration of any employment opportunity, you acknowledge that you have read and understood Change Healthcare's Privacy Notice to California Job Applicants Regarding the Collection of Personal Information (https://www.changehealthcare.com/privacy-notice/privacy-notice-to-california-job-applicants) .
Change Healthcare maintains a drug free workplace and conducts pre-employment drug-testing, where applicable, in accordance with federal, state and local laws.
Change Healthcare is an equal opportunity employer. All qualified applicant will reveive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, genetic information, national origin, disability, or veteran status.