Senior Coding Analyst - HCC Specialist

Please note: Must reside and be fully authorized to work in the US.  

**We are seeking remote applicants, preferably in Arizona, Texas, New Mexico, Nevada, or any state except California, Colorado, New Jersey, New York, and Washington. 

Our Organization: 

Welcome to Arkos Health! We are a value-based healthcare company providing solutions for payors and providers by combining unique technology with in-home, virtual, and in-clinical care for patients. Backed by a robust technology platform, innovative software, and a light human touch, Arkos Health is committed to delivering advanced and accessible community-based services allowing our clients to live healthier, more independent lives. How do we do this? Arkos serves health plans and provider organizations by managing their highest-risk and highest-cost populations. Our goal is to be the most valued partner to health plans, service providers, and the community we collectively serve.   

How You'll Make a Difference: 

Arkos Health is seeking a HCC Coding Specialist. The Arkos Health risk adjustment department is tasked with ensuring accurate documentation and coding of disease burden to enhance patient experience, reduce costs, improve health outcomes, and improve clinician experience. The HCC Coding Specialist will conduct retrospective coding review in support of Arkos Health programs. The HCC Coding Specialist is tasked with analyzing patient medical records to identify conditions that are adequately supported through the MEAT or TAMPER methodology, with the intention of reporting these findings to the Health plan for submission to CMS.

Essential Duties and Responsibilities: 

• Receive assigned medical charts to code
• Abstract and code diagnosis and documentation information related to Risk Adjustment and ICD-10 Coding Guidelines
• Adapt to changing priorities and displays a willingness to fulfill team needs
• Demonstrate exceptional attention to detail throughout the review process
• Meet daily production goal and quality goal of 95% accuracy rate on a consistent basis
• Demonstrate the highest level of confidentiality and follow the AHIMA and AAPC Code of Ethics
• Participate in education and training including comprehension of ICD-10-CM Official Guidelines for Coding and Reporting, Coding Clinic, and other regulatory education programs and updates
• Demonstrate the ability to work independently under the supervision of department leadership
• Work effectively and efficiently within a team environment
• Document with confidence and ease requested information from the medical record into Excel spreadsheets or in a web-based review tool
• Review medical charts electronically using a computer

Qualifications and Skills: 

• One year of specialized retrospective chart review experience (Medicare Advantage, ACA, or Medicaid Risk Adjustment)
  
• Certified Professional Coder - Apprentice, Certified Risk Adjustment Coder, CCA (Required)
• Other healthcare experience including working on EHR systems
• Proficiency in Computer Systems, intermediate Excel skills
• CPC (preferred)
• Experience in delivering documentation and coding feedback to clinicians through a query process (preferred)
• Familiarity with anatomy and physiology, disease processes and medical terminology (preferred)
• Auditing experience (preferred)
• Experience working for payor, population health organizations, or large medical groups (preferred)
• Three years of coding experience with recent hands-on production (preferred)
• Associate degree (preferred)

Benefits: 

• Employer-paid Medical premiums at no cost to you
• Employer-paid Dental premiums at no cost to you
• Employer-paid Vision premiums at no cost to you
• Employer-paid Short-Term Disability premiums at no cost to you
• Employer-paid Life Insurance premiums at no cost to you
• Employer matching 401(k)
• 15 days annual combined sick/vacation and 9 days of holiday during your first year
• Your Birthday off!

Must complete our Culture Index Survey. Take the assessment at https://go.cultureindex.com/s/bg3VS0H2kF.   This is not a pass/fail test and does not measure intelligence. 

Arkos Health EEO Statement: 

We are an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic protected by law. 

Arkos Health is a drug-free workplace. All job applicants selected for employment are required to submit to a pre-employment drug test and background check. 

Arkos Health participates in E-Verify to confirm eligibility to work in the United States. To view the details on this program, visit our career page at Careers - Arkos Health