Job Posting Location:
Essential Job Functions:
Verify and ensure the accuracy, completeness, specificity, and appropriateness of diagnosis codes based on services rendered.
Review medical record information to identify all appropriate coding based on CMS HCC model.
Complete appropriate paperwork/documentation/system entry regarding claim/encounter information.
Demonstrate analytical and problem-solving ability regarding barriers to receiving and validating accurate HCC information.
Support and participate in process and quality improvement initiatives.
Maintain a comprehensive tracking and management tool to track all HCC activities and ensure that all tasks are completed in a timely manner.
Performs AHIMA compliant queries to providers when necessary
Participate in ongoing training and education within assigned timeframe
May participate in special project auditing as required
All other duties as assigned
Other Job Functions:
Understand, adhere to, and implement the Company’s policies and procedures.
Provide excellent customer services skills, including consistently displaying awareness and sensitivity to the needs of internal and/or external clients. Proactively ensuring that these needs are met or exceeded.
Take personal responsibility for personal growth including acquiring new skills, knowledge, and information.
Engage in excellent communication which includes listening attentively and speaking professionally.
Set and complete challenging goals.
Demonstrate attention to detail and accuracy in work product by meeting productivity standards and maintaining a company standard of accuracy