ZipRecruiter

Log In

1

Internship Hcc Risk Adjustment Coder Jobs in Virginia

She Recruits LLC

Nurse Practitioner

Portsmouth, VA · On-site

$90K - $190K/yr

Perform annual wellness visits, health risk assessments, and thorough documentation using HCC and ICD-10 coding standards. * Coordinate care with specialists, hospitals, and other community resources.

previous page

Showing results 41-60

All JobsHcc Risk Adjustment Coder JobsInternship Hcc Risk Adjustment Coder JobsInternship Hcc Risk Adjustment Coder Jobs in Virginia

Internship Hcc Risk Adjustment Coder information

What is the difference between Internship Hcc Risk Adjustment Coder vs Hcc Risk Adjustment Coder?

AspectInternship Hcc Risk Adjustment CoderHcc Risk Adjustment Coder
CredentialsTypically none or basic certificationsCertifications like CPC, CCS, or RHIT often required
Work EnvironmentInternship setting, training-focusedFull-time professional setting, independent work
Employer & IndustryHospitals, healthcare providers, training programsHealthcare organizations, insurance companies
Search & Comparison IntentLearning, entry-level roles, trainingProfessional, experienced roles, career advancement

The Internship Hcc Risk Adjustment Coder is an entry-level position designed for training and gaining experience, often without requiring certifications. In contrast, the Hcc Risk Adjustment Coder is a full-time professional role that typically requires relevant certifications and experience. Both roles are within the healthcare industry, but they differ significantly in responsibilities, expectations, and career progression.

What are the most commonly searched types of Hcc Risk Adjustment Coder jobs in Virginia?

The most popular types of Hcc Risk Adjustment Coder jobs in Virginia are:

What are popular job titles related to Internship Hcc Risk Adjustment Coder jobs in Virginia?

For Internship Hcc Risk Adjustment Coder jobs in Virginia, the most frequently searched job titles are:

What job categories do people searching Internship Hcc Risk Adjustment Coder jobs in Virginia look for?

The top searched job categories for Internship Hcc Risk Adjustment Coder jobs in Virginia are:

What cities in Virginia are hiring for Internship Hcc Risk Adjustment Coder jobs?

Cities in Virginia with the most Internship Hcc Risk Adjustment Coder job openings:

Internship Hcc Risk Adjustment Coder jobs near you

Compliance Analyst RMG

Riverside Health System

Newport News, VA • On-site, Remote

$57K - $78K/yr

Full-time

Re-posted 7 days ago

Job description

Newport News, Virginia
Hiring Range
$57,100.00 - $78,550.00/AnnualActual pay is determined based on job-related factors such as relevant experience, education, credentials, skills, internal equity, and business needs.
FOR APPLICATION REVIEW - PROVIDE YOUR AAPC CERTIFICATION NUMBER ON YOUR APPLICATION OR RESUME
This position is remote work eligible for candidates residing in the following states: FL, GA, ID, KS, KY, MS, NC, OK, SC, SD, TN, VA.
Overview
Primary responsibility is to independently perform clinical chart reviews, risk adjustment audits, payor audits, coding analysis, charge/reimbursement analysis, medical records reviews, and educate provider personnel on coding methodologies that will result in improved accuracy by following RMG compliance standards for commercial and government payors. This position serves as subject matter expert to coordinate review and root cause analysis of coding follow-up/denial and audit work queues, coding denial volumes, and coding trends. Responsible for identifying and reporting obstacles, patterns, and variations as well as resolutions in a timely, clear and concise manner. Serves as an expert for all coding-related questions and is responsible for providing educational materials to answer questions from clinical/office managers, providers and other administrative personnel.
What you will do
  • Independently conducts Medical Record audits following official coding guidelines and interprets and applies Federal and State regulations, coding and billing requirements for Baseline, Annual, Post Education and Focused provider chart reviews. Analyzes provider coding and documentation to evaluate risks relating to future payor recovery audits. Uses expertise and discretion to apply necessary corrections to ensure compliance with payor rules and regulations with appropriate databases.
  • Demonstrates expertise and ensures that all Third Party Payor reviews are completed timely with all requested supporting documentation (e.g. Medical records). Researches payor rules (e.g. manuals, policies and other sources) for support and guidance. Pre-reviews files and materials and provides summary of findings so that issues can be shared with the department director. Works in alliance with RHS Internal Auditing. Reports and tracks necessary corrections to ensure compliance with payor rules and regulations with appropriate databases.
  • Analyzes coding related to 1) ensuring work queues are worked timely and accurately and reporting concerns to department managers, and/or Director, 2) identifying trends, 3) conducting root cause analysis of trends, and 4) developing action plans for corrective action. Makes recommendations to Manager and practices/departments, including Patient Accounting (CBO), Physicians and Contracting to resolve the denied claims and provide education to reduce future denials.
  • Audits both aggregate coded data and individual encounter data to independently determine opportunities for education, training and documentation improvement for both individual providers and RMG Coding team. Provides feedback and suggestions to providers/coders regarding coding accuracy. Identifies trends and opportunities for improvement in clinical documentation and reports this information to the Director.
  • Works with newly hired team members' orientation program to ensure understanding of office based payor regulations (ABN, HIPAA, Incident to/shared visits). Oversees the department's new team member and reports on evaluation results with any recommendations as needed. Assists with and/or provides suggestions for continuing education topics and issues for coding staff. Interacts with and educates coding staff in specialty topics. Develops and maintains all presentations and tracking logs.
  • Works collaboratively with both internal and other departments with assistance and guidance. Answers questions and solves complex coding problems which includes performing preliminary research on topics such as coverage determinations, coding guidelines or standards of care with an emphasis on improving efficiency.

Qualifications
Education
  • High School Diploma or GED, (Required)

Experience
  • 3-4 years Commercial and Government Billing/Coding/Collections (Required)
  • 1 year Medical Record Reviews (Required)

Licenses and Certifications
  • Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC) (Required) or
  • Certified Outpatient Coder (COC) - American Academy of Professional Coders (AAPC) (Required) and
  • Certified Professional Medical Auditor (CPMA) - American Academy of Professional Coders (AAPC) or another AAPC recognized credential, or billing within 1 Year (Required)

To learn more about being a team member with Riverside Health System visit us at https://www.riversideonline.com/careers.

Apply