Be the Basis of Risk Management as HCC Coder

Be the Basis of Risk Management as HCC Coder Job Description Experience: 3 to 7 yrs Salary: Based on Previous Experience Challenges: Accurate and thorough patient risk assessment using the Hierarchical Condition Category (HCC) approach is vital as healthcare payment models quickly shift towards value-based care (VBC). In order to ensure compliance and optimise risk adjustment factor (RAF) scores to gain proper compensation for patient care complexity, HCC Coders will need to be more than just accurate transcribers in the future. They will also need to be strategic partners in financial integrity and quality reporting. What you will do: Accurately abstracting and assigning ICD-10-CM codes for chronic diseases that affect RAF scores requires expert assessment of electronic health records (EHR), physician documentation, and diagnostic findings. concentrating on HCC-related codes in particular and making sure the documentation satisfies the MEAT requirements in order to facilitate code assignment for the current year. reviewing charts both prospectively and retrospectively to find documentation gaps, which prompts physicians to give clarification or support diagnoses that are crucial for risk adjustment. working together with clinical staff and providers to enhance documentation quality, coding procedures, and comprehension of VBC and HCC compliance standards through training and feedback sessions. To guarantee the highest degree of coding accuracy and compliance, stay current on official coding guidelines, CMS regulations, and modifications to the HCC model. We invite you to apply and explore this exciting opportunity! Warm Regards, HR - Maria