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Risk Adjustment Coding Team Lead
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- The Risk Adjustment Coding Team Lead performs duties to conduct the day-to-day operations of the Risk team functions.
- This position will participate in the development, implementation and performance of workflows for auditing electronic medical records aimed at improving the health and well-being of patients and proper identification of Chronic Disease Conditions as well as working to create a unique data and reporting model to capture and optimize ICD-10 reporting to Payers to improve quality for our patients and reduce healthcare costs.
- The incumbent is a working Team Lead also determines the appropriate ICD10-CM diagnoses codes based on clinical documentation that follows the Official Guidelines for Coding and Reporting and Risk Adjustment guidelines for risk adjustment and Hierarchical Condition Categories (HCC).
- Coding Certification from American Academy of Professional Coders (AAPC) or American Health Information Management Association (AHIMA) is required.
- Certification may include Certified Risk Adjustment Coder (CRC) or Certified Professional Coder (CPC) and/or Certified Clinical Documentation Specialist- Outpatient or Certified Documentation Expert Outpatient (CDEO) Certified Coding Specialist (CCS), or Certified Coding Specialist Physician-Based (CCS-P), or a Certified Coding Associate (CCA), or Risk Adjustment Coder (RAC), or Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA) required
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