Trinity Health
CERTIFIED RISK ADJUSTMENT CODING SPECIALIST
Employment Type:
Full time
Shift:
8:00‑4:30 or 7:00‑3:30 Eastern Time
Location:
Trinity Health PACE Corp, Michigan Status:
Full time Remote
Position Purpose The primary purpose of this position is to assign ICD/CPT codes to participant health information for data retrieval, analysis, and claims processing. Duties also include abstracting and validating data from medical records and providing education on documentation to support HCCs.
Position Details This is a fully remote position. Work hours will be 8:00‑4:30 or 7:00‑3:30 Eastern. Training will take place in person in Livonia, MI for one week (expenses paid). Onsite training is required during the second week of employment.
What You Will Do Evaluate medical records to identify diagnoses and procedures and accurately assign and sequence ICD and CPT codes. Abstract and validate information; seek out validating information as needed. Conduct documentation spot checks and respond to audit feedback. Ensure timely, accurate client care documentation for billing. Monitor and inform manager of records that are not completed timely; investigate and take appropriate action for records that are not coded, billed, or rejected. Stay updated on coding guidelines and reimbursement requirements. Maintain participant confidentiality and comply with HIPAA guidelines. Assure site staff compliance with federal/state and accreditation regulations through record review, case conferencing, and communication.
Minimum Qualifications High school diploma or equivalent required. 2 years of completed college coursework preferred. Must have one of the following certifications: Certified Outpatient Coder, Certified Coding Specialist, Certified Professional Coder through AAPC, or Registered Health Information Technician or Administrator through AHIMA. Must be certified or obtaining certification for Certified Risk Adjustment Coder through AAPC; if not certified at hire, must obtain within one year. Two years of experience in a risk adjustment coding environment required. Demonstrated ability to verify and validate HCCs. Demonstrated ability to work with providers on education and guidance. Knowledge of medical terminology, human anatomy, physiology, and disease processes. Strong communication, problem‑solving, customer service, critical thinking, and organizational skills. Comprehensive proficiency with Microsoft Office (Word, Excel, PowerPoint, etc.) and ability to use other software as required. Ability to prioritize workload. Position may require occasional travel to home office in Livonia, MI or other supported locations.
Position Highlights And Benefits Comprehensive benefits including 1st day medical coverage, dental, vision, paid time off, 403(b), and educational assistance. Access to daily pay and employee referral incentives. Supportive environment with a patient-centered focus. Opportunities for professional development.
Ministry/Facility Information Trinity Health PACE provides high‑quality care to seniors in the communities we serve. Our interdisciplinary team offers comprehensive services, allowing seniors to remain independent at home.
We are guided by core values of reverence, commitment, safety, justice, stewardship, and integrity.
Our Commitment Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person‑centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.
Min Pay:
$24.00
Max Pay:
$30.00
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Full time
Shift:
8:00‑4:30 or 7:00‑3:30 Eastern Time
Location:
Trinity Health PACE Corp, Michigan Status:
Full time Remote
Position Purpose The primary purpose of this position is to assign ICD/CPT codes to participant health information for data retrieval, analysis, and claims processing. Duties also include abstracting and validating data from medical records and providing education on documentation to support HCCs.
Position Details This is a fully remote position. Work hours will be 8:00‑4:30 or 7:00‑3:30 Eastern. Training will take place in person in Livonia, MI for one week (expenses paid). Onsite training is required during the second week of employment.
What You Will Do Evaluate medical records to identify diagnoses and procedures and accurately assign and sequence ICD and CPT codes. Abstract and validate information; seek out validating information as needed. Conduct documentation spot checks and respond to audit feedback. Ensure timely, accurate client care documentation for billing. Monitor and inform manager of records that are not completed timely; investigate and take appropriate action for records that are not coded, billed, or rejected. Stay updated on coding guidelines and reimbursement requirements. Maintain participant confidentiality and comply with HIPAA guidelines. Assure site staff compliance with federal/state and accreditation regulations through record review, case conferencing, and communication.
Minimum Qualifications High school diploma or equivalent required. 2 years of completed college coursework preferred. Must have one of the following certifications: Certified Outpatient Coder, Certified Coding Specialist, Certified Professional Coder through AAPC, or Registered Health Information Technician or Administrator through AHIMA. Must be certified or obtaining certification for Certified Risk Adjustment Coder through AAPC; if not certified at hire, must obtain within one year. Two years of experience in a risk adjustment coding environment required. Demonstrated ability to verify and validate HCCs. Demonstrated ability to work with providers on education and guidance. Knowledge of medical terminology, human anatomy, physiology, and disease processes. Strong communication, problem‑solving, customer service, critical thinking, and organizational skills. Comprehensive proficiency with Microsoft Office (Word, Excel, PowerPoint, etc.) and ability to use other software as required. Ability to prioritize workload. Position may require occasional travel to home office in Livonia, MI or other supported locations.
Position Highlights And Benefits Comprehensive benefits including 1st day medical coverage, dental, vision, paid time off, 403(b), and educational assistance. Access to daily pay and employee referral incentives. Supportive environment with a patient-centered focus. Opportunities for professional development.
Ministry/Facility Information Trinity Health PACE provides high‑quality care to seniors in the communities we serve. Our interdisciplinary team offers comprehensive services, allowing seniors to remain independent at home.
We are guided by core values of reverence, commitment, safety, justice, stewardship, and integrity.
Our Commitment Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person‑centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.
Min Pay:
$24.00
Max Pay:
$30.00
#J-18808-Ljbffr