Trinity Health

Risk Adjustment Coding Specialist - Remote


PayCompetitive
LocationHamden/Connecticut
Employment typeFull-Time
  • Job Description

      Req#: 00636650
      Employer Industry: Healthcare Services

      Why consider this job opportunity:
      - Competitive compensation and benefits packages including medical, dental, and vision with coverage starting on day one
      - Retirement savings account with employer match starting on day one
      - Generous paid time off programs
      - Tuition/professional development reimbursement starting on day one
      - Opportunity to join Diversity, Equity, and Inclusion Colleague Resource Groups
      - DailyPay option available for eligible employees to access earnings before payday

      What to Expect (Job Responsibilities):
      - Review and evaluate patient medical records to determine the level of Evaluation and Management (E/M) service and accurately assign and sequence CPT, modifiers, and ICD-10 codes
      - Identify and assign appropriate ICD-10-CM codes that map to Hierarchical Condition Categories (HCCs)
      - Ensure documentation meets MEAT and/or TAMPER criteria to support the presence and management of chronic conditions
      - Collaborate with providers to clarify documentation and educate on risk adjustment coding best practices
      - Conduct retrospective and prospective coding reviews to identify missed or undocumented HCCs

      What is Required (Qualifications):
      - High School Diploma or Equivalent required
      - Minimum of two years of experience in medical coding and billing required
      - Certified Risk Adjustment Coder certification within one year of hire required
      - Understanding of various medical claims formats and working knowledge in medical terminology, CPT, and ICD-10 coding
      - Expanded knowledge of Risk Adjustment and HCC coding

      How to Stand Out (Preferred Qualifications):
      - Active and up-to-date CPC certification preferred
      - Knowledge of payer contracts and reimbursement

      #Healthcare #MedicalCoding #RiskAdjustment #CareerOpportunity #CompetitiveBenefits

      We prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately.
      We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer.
  • About the company

      Trinity Health employs about 129,000 colleagues, including 7,500 employed physicians and clinicians. Committed to those who are poor and underserved in its communities, Trinity Health is known for its focus on the country's aging population. As a single, unified ministry, the organization is the innovator of Senior Emergency Departments, the largest not-for-profit provider of home health care services — ranked by number of visits — in the nation, as well as the nation’s leading provider of PACE (Program of All Inclusive Care for the Elderly) based on the number of available programs.

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