Loma Linda Univ Health Care
Coder 1-Risk Adjustment
Loma Linda Univ Health Care, Loma Linda, California, United States, 92354
Our mission is to participate in Jesus Christ’s ministry, bringing health, healing, and wholeness to humanity by:
Creating a supportive faculty practice framework that allows Loma Linda University School of Medicine physicians and surgeons to educate, conduct research, and deliver quality health care with optimum efficiency, deploying a motivated and competent workforce trained in customer service and whole person care principles.
Providing safe, seamless, and satisfying health care encounters for patients while upholding the highest standards of fiscal integrity and clinical ethics.
Our core values are compassion, integrity, humility, excellence, justice, teamwork, and wholeness.
Position: Coder 1 – Risk Adjustment
The Coder 1 – Risk Adjustment is responsible for clinical documentation review related to Risk Adjustment Data Validation (RADV), focusing on completeness and accuracy of provider documentation concerning severity of illness and supporting clinical care plans for validating Hierarchical Condition Category (HCC) diagnoses. Responsibilities include: Initiating communication with providers to clarify documentation needs. Providing education on documentation integrity, completeness, and consistency. Keeping providers updated on CMS, ICD-10-CM, AHA Coding, and health plan guidelines related to Risk Adjustment. Performing other duties as needed. Qualifications:
Bachelor’s degree in Health Information Management or related healthcare field preferred; equivalent education and experience may be considered. 2+ years of clinical/medical experience, including at least 1+ year in Risk Adjustment coding or Clinical Documentation Improvement. Certified Risk Adjustment Coder (CRC) required; CCDS preferred. Knowledge of electronic medical records, medical terminology, ICD-10-CM coding conventions, and CMS RADV experience preferred. Proficiency in keyboarding (40 wpm), computer operation, and basic office equipment. Effective communication skills in English, professional demeanor, ability to work independently, and attention to detail.
#J-18808-Ljbffr
The Coder 1 – Risk Adjustment is responsible for clinical documentation review related to Risk Adjustment Data Validation (RADV), focusing on completeness and accuracy of provider documentation concerning severity of illness and supporting clinical care plans for validating Hierarchical Condition Category (HCC) diagnoses. Responsibilities include: Initiating communication with providers to clarify documentation needs. Providing education on documentation integrity, completeness, and consistency. Keeping providers updated on CMS, ICD-10-CM, AHA Coding, and health plan guidelines related to Risk Adjustment. Performing other duties as needed. Qualifications:
Bachelor’s degree in Health Information Management or related healthcare field preferred; equivalent education and experience may be considered. 2+ years of clinical/medical experience, including at least 1+ year in Risk Adjustment coding or Clinical Documentation Improvement. Certified Risk Adjustment Coder (CRC) required; CCDS preferred. Knowledge of electronic medical records, medical terminology, ICD-10-CM coding conventions, and CMS RADV experience preferred. Proficiency in keyboarding (40 wpm), computer operation, and basic office equipment. Effective communication skills in English, professional demeanor, ability to work independently, and attention to detail.
#J-18808-Ljbffr