Facilitate improvements in the overall quality, completeness, and accuracy of practice-based clinical diagnosis coding and documentation.
Responsibilities include:
- Verifying the accuracy, completeness, specificity, and appropriateness of risk-adjusted diagnosis codes and clinical documentation based on services rendered
- Supporting and educating KCN clinicians and staff on pre-visit planning, including identifying severity of patient illness
- Improving the provider coding experience by providing regular feedback on coded cases and opportunities for better documentation
- Analyzing chart documentation related to clinical status, treatment plans, and past medical history to identify documentation gaps
- Independently educating clinicians and staff on diagnosis coding and documentation issues
- Developing program improvement plans and training materials
- Recommending and educating on appropriate solutions in accordance with nationally recognized coding guidelines
- Collaborating with payer partners on coding recapture and diagnosis resolution
- Using software and population health applications to collect, track, and communicate diagnosis coding information
- Working with Contracting, Analytics, and Information System teams to identify interventions and optimize data, reports, and population health applications
- Performing other related duties as assigned
Regular and predictable attendance is an essential job function.
Requirements & Qualifications
Minimum Qualifications
- Graduate of a formal coding program or completion of a coding training course required
- Associate degree preferred
- Minimum 3 years of coding or medical record chart review experience in a healthcare setting required
- Previous Risk Adjustment Methodology and diagnosis coding experience required
- AHIMA or AAPC coding certification required, such as:
- CCS
- CPC
- CCS-P
- or other related certification
- Risk Adjustment Coder certification preferred
- Experience with Hierarchical Coding Category (HCC) Risk Adjustment Model preferred
- Knowledge of HCC diagnosis coding and clinical record review processes preferred
- Strong knowledge of CPT, ICD-10 coding, and medical record documentation
- Proven project management experience or experience coordinating detailed projects or activities
- Strong written and verbal communication skills with the ability to build strong relationships
Working Conditions
- Hybrid schedule available for Idaho residents
- Must be able to lift and move up to 10 lbs
- Must be able to maintain a sitting position
- Typical office equipment use
- Repetitive movements
Benefits & Perks
Benefits and Perks
- Comprehensive medical coverage, including fully employer-paid options for eligible full-time employees
- Affordable medical plans for part-time staff
- Dental, vision, life, and pet insurance
- Telemedicine and wellbeing resources available to all employees
- Tuition assistance after 90 days
- Retirement plans with pretax and Roth options plus employer matching from 3% to 6%
- Competitive pay with night, weekend, and PRN shift differentials
- Award-winning wellness program with coaching, financial wellness resources, and access to fitness centers and premium wellbeing apps
- PerkSpot discounts across thousands of deals in more than 25 categories
- Employee referral bonus program
Location
Idaho, US
Employment Type
Full-time
Experience Level
Intermediate Level
Remote work allowed
Yes
Posted
4 weeks ago