Entry Level Risk Adjustment Coder Jobs in McAllen, TX

The RN Field Coder will be responsible for documentation and coding review of medical records where services are rendered at various partnered medical practices. The RN Field Coder will work with assigned provider offices to ensure accurate reporting of diagnoses and service codes to support optimal performance in risk adjustment and quality measurement. The scope of work supported by the RN Field coder will include pre, post and wraparound visit input. Pre-Visit: Reviewing the medical records, outside results and health plan data for upcoming patient appointments and flagging important insights for the provider to review before seeing the patient. Post Visit: review the provider note, populate all supported codes (ICD-10, CPT, CPT-II, etc.), and assist submission of encounter for claim processing. Wrap Around Education- periodic review of findings, highlighting areas of opportunity in documentation and ongoing education. The Field Coder will be responsible for provider querying and education on documentation guidelines. This individual must have a strong understanding and knowledge of CMS Coding and Documentation Guidelines as well as HCC coding practices. The RN Field Coder will be required to work occasionally onsite at the provider office and may require travel to out of state for in person provider education and training. The RN Field Coder will be required to maintain consistent and reliable methods of communication to accommodate the hours and demands of providers' schedules.

Benefit Highlights:

• Loan Forgiveness Program
• Challenging and rewarding work environment
• Competitive Compensation & Generous Paid Time Off
• Excellent Medical, Dental, Vision and Prescription Drug Plans
• 401(K) with company match and discounted stock plan
• SoFi Student Loan Refinancing Program
• Career development opportunities within UHS and its 300+ Subsidiaries!

Qualifications and Requirements:

• Active RN License – Texas
• BSN- preferred but not required. Associates degree acceptable.
• Minimum of two (2+) years in CMS HCC Risk Adjustment Coding.
• Minimum of two (2+) years' experience in medical records, claims or billing area is an asset or equivalent combination of education and experience.
• Coding certification required (CPC, CRC)
• Must be credentialed through AAPC or AHIMA.
• Experience working in a variety of EMRs
• Knowledge of age-specific needs and elements of disease processes and related procedures required.
• Strong broad-based clinical knowledge and understanding of pathology/physiology of disease processes.
• Proficient with MS Office Suite (Word, Excel, Outlook), Internet.
• Working knowledge of inpatient admission criteria, Medicare reimbursement system and coding systems preferred, but not required.
• Ability to read and write effectively in English; bi-lingual Spanish preferred
• Highly organized, proficient critical-thinking and analytical problem-solving skills
• May be required to be available beyond normal 8-5 working hours, including weekends, to accommodate office and provider hours
• Ability to work independently in a time oriented environment is essential.

EEO Statement: All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws. We believe that diversity and inclusion among our teammates is critical to our success.