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For your reference, we have included the original job posting below.
Quality HCC Coder Sr - AZ
Job Number:
44210251
Company Name:
SCAN Healthplan
Job Location:
Phoenix, AZ US
Job Category:
Healthcare & Medical
Quality HCC Coder Sr - AZ
Quality HCC Coder Sr - AZ SCAN Health Plan« Back to Search Form Details
Location: AZ - Phoenix Job Type: Health Care Base Pay: N/A Required Education: Not Specified Bonus: Required Experience: Not Specified Other: Required Travel: Not Specified Employee Type: Full-Time Relocation Covered: Not Specified Industry Healthcare - Health Services, Social Services, Managed Care
Job ID: 12-629
Description
JOB PURPOSE: To effectively interface with provider partners to monitor and implement an HCC coding strategy. Provide coding expertise as well as administrative support to ensure successful integration of SCAN's HCC initiatives.
ESSENTIAL JOB RESULTS: Review assessment documentation and accurately translate medical information into the appropriate code. Ensure needed documentation is present to validate the code. Escalate issues to management, as appropriate.
Serve as a resource for HCC Coders and assist with coding decisions, escalated issues, and tasks as needed.
Partner with Wellness Clinicians to support and enhance Quality HCC initiatives. Provide real-time training and support regarding the documentation and coding needed to successfully execute the department goals.
Responsible for projects involving retroactive and prospective chart review.
Maintain a comprehensive tracking and management tool for assigned network. Track all HCC activities for provider network and ensure that all tasks are completed in a timely manner. Correlate activities, processes and HCC results/ metrics to evaluate outcomes.
Partner with management to identify internal training needs. Prepare education materials for regular case review meetings.
Document, measure, and trend daily production and accuracy metrics, for review by management.
Provide training and education regarding accurate coding to providers, as needed.
Develop an understanding of the encounter data transmission process. Assist in identification of problem areas and solutions to ensure that SCAN volume and quality targets are met or exceeded.
Coordinate CMS Data Validation activities, including record selection, tracking and submission, in conjunction with the Manager Quality HCC.
Support Supervisor Quality HCC in scheduling/training activities. Maintain records of training.
Implementation of HCC coding initiatives. Participate in HCC planning in all expansion opportunities and provide the structure for a successful expansion to have HCC plan in place.
Contribute to team effort by accomplishing related results as needed. Requirements
PREFERRED QUALIFICATIONS: Registered Health Information Technician (RHIT), or Certified Professional Coder (CPC) with a minimum of 2 years of coding experience in a Hospital, required.
Bachelor's Degree in Business Administration, Health Care Management or related field, preferred.
Inpatient coding experience required.
5+ years of coding experience required.
Proficient in MS Office.
CONDITIONS OF WORK: Office Hours: Monday-Friday, 8am to 5pm.
Extended work hours, as needed.
Travel to provider sites or member homes. Maintain valid driver's license, automobile insurance and reliable transportation.
