At MVP Health Care, we’re on a mission to create a healthier future for everyone – which requires innovative thinking and continuous improvement. To achieve this, we’re looking for an Associate, Risk Adjustment Coder to join #TeamMVP. This is the opportunity for you if you have a passion for accuracy, quality, and compliance coding.
What’s in it for you:
- Growth opportunities to uplevel your career
- A people-centric culture embracing and celebrating diverse perspectives, backgrounds, and experiences within our team
- Competitive compensation and comprehensive benefits focused on well-being
- An opportunity to shape the future of health care by joining a team recognized as a Best Place to Work For in the NY Capital District, one of the Best Companies to Work For in New York, and an Inclusive Workplace.
Qualifications you’ll bring:
- High School Diploma or GED Coding education including understanding of proper guidelines and usage of ICD-10-CM, CPT and HCPCS RHIT – Registered Health Information Technologist or CPC-P – Certified Professional Coder (Physician) or CCS-P – Certified Coding Specialist (Physician), and CRC-Certified Risk Adjustment Coding Credential preferred.
- Minimum of 1 year physician billing or coding experience
- Detail oriented with high degree of accuracy. Meeting monthly accuracy > 98% for all work completed.
- Ability to exercise discretion in handling confidential member information.
- Ability to verify and ensure the accuracy, completeness, specificity and appropriate coding based on CMS HCC categories and guidelines.
- Proficiently analyzing and translating medical and clinical diagnosis, procedures, and illnesses into Risk Adjustable codes.
- Strong commitment to customer service and understanding and responding to customer needs within specific timeframes.
- Proficiency with Microsoft Word, Excel and PowerPoint or comparable software required.
- Proficiency with FACETS required within six months from date of hire.
- Curiosity to foster innovation and pave the way for growth with strong analytical skills
- Humility to play as a team and problem solve
- Commitment to being the difference for our customers in every interaction
Your key responsibilities:
- Identify, collects, assesses, monitors, and documents claim and encounter coding information as it pertains to CMS Hierarchical Condition Categories (HCC).
- Actively participates in and supports the Risk Adjustment team-based environment to educate providers on coding compliance and consistency.
- Works with the Coding Leader of Risk Adjustment to ensure coding compliance and appropriate reimbursement from CMS.
- Contribute to our humble pursuit of excellence by performing various responsibilities that may arise, reflecting our collective goal of enhancing healthcare delivery and being the difference for the customer.
Where you’ll be:
Location: Remote within New York State. Must be located within a 45-mile radius from Schenectady, NY; Rochester, NY
Other details
- Job Family Medical Management/Clinical
- Pay Type Hourly
- Min Hiring Rate $24.00
- Max Hiring Rate $30.36
