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Senior Hcc Risk Adjustment Coder Jobs in Arizona

AIG

Senior Underwriting Assistant

Scottsdale, AZ

This role assists the underwriters by screening risk offerings and with pre and post-binding ... Performs quality control of adjustments prior to underwriting review; documents discrepancies and ...

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Senior Hcc Risk Adjustment Coder information

What does a Senior HCC Risk Adjustment Coder do?

A Senior HCC Risk Adjustment Coder reviews medical records and assigns appropriate ICD-10 codes to ensure accurate risk adjustment for healthcare organizations. Their work supports proper reimbursement and compliance by identifying and coding Hierarchical Condition Categories (HCCs) based on clinical documentation. Senior coders typically have advanced knowledge of coding guidelines, risk adjustment models, and relevant regulations such as Medicare Advantage requirements. They may also audit coding work, provide training, and help implement best practices within their teams.

What are some common challenges faced by Senior HCC Risk Adjustment Coders, and how can they be addressed?

Senior HCC Risk Adjustment Coders often encounter challenges such as keeping up with frequent coding guideline updates, navigating complex electronic health record systems, and ensuring accurate documentation to support risk adjustment scores. To address these, staying current with industry training and certification requirements is essential, as is developing strong communication skills to collaborate effectively with providers and other coding professionals. Regular auditing and feedback can also help maintain high accuracy and compliance, contributing to both individual and team success.

What are the key skills and qualifications needed to thrive as a Senior HCC Risk Adjustment Coder, and why are they important?

To thrive as a Senior HCC Risk Adjustment Coder, you need in-depth knowledge of ICD-10-CM coding, risk adjustment methodologies, and a relevant credential such as CPC, CRC, or CCS. Familiarity with coding software, EHR systems, and risk adjustment analytics platforms is essential. Attention to detail, analytical thinking, and strong communication skills distinguish top performers in this role. These skills ensure accurate documentation and coding, directly impacting healthcare organizations' compliance and financial outcomes.
Senior Hcc Risk Adjustment Coder jobs near you
General Nurse Practitioner job in Phoenix AZ

General Nurse Practitioner job in Phoenix AZ

Inspire Healthcare

Phoenix, AZ

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 15 days ago

Job description

  • Board Certified Nurse Practitioner with experience
  • Make an impact on seeing the underserved population
  • Full-time permanent Primary Care Outpatient Only position
  • Monday " Friday No nights, no weekends
  • Small patient panels for consistency and focus (12-15 patients per day)
  • Value-based care model
  • Provide personalized primary care for older adults on Medicare, with the goal of keeping patients healthy and living life to the fullest
  • Administer Annual wellness visits and health risk assessments, which require aholistic view of health and afocus on thoughtful, accurate, and specific documentation.
  • Population health leadership, in coordination with the Care Team (e.g., making sure all eligible females get their evidence-based breast cancer screening every 2years)
  • This role reports to the Center Medical Director and works closely with operational leadership.
-Understands HCC (Hierarchical Condition Categories) documentation, ICD-10 (International Classification of Diseases-10) Coding, and Health Risk Assessments (HRAs).
  • Location: Phoenix, AZ
Benefits:
  • Competitive Salary
  • Quarterly bonus based on quality metrics
  • 6 weeks of PTO, inclusive of vacation, sick time, major holidays, and continuing medical education (CME)
  • $5000 CME stipend
  • Tuition reimbursement
  • Provided Health, Vision, Dental, and Life Insurance
  • 401K Investment, up to 4% company match, vested immediately
  • Provided Medical Malpractice Insurance
  • Dedicated Medical Scribe and Medical Assistant
  • Relocation package on acase-by-case basis

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