Job Information
Administration South Sr Risk Adjusted Coder in TOPPENISH, Washington
Position Title: Sr Risk Adjusted Coder City: Toppenish State/Territory: US-WA Employment Duration: Full time Offer Relocation: No Excempt Status: Non-exempt ID: 12962 Description:
Join our team as a Sr Risk Adjusted Coder at the Toppenish Administration in Toppenish, WA, and be part of a healthcare organization that believes in making a difference beyond medical care! At Yakima Valley Farm Workers Clinic, we believe you are more than an employee, and we are more than a job! We value inclusivity, and we are a community committed to the well-being of our members.
We've transformed into a leading community health center. With 40+ clinics across Washington and Oregon, we offer a wide range of services such as medical, dental, pharmacy, orthodontia, nutritional counseling, autism screening, and behavioral health. Our holistic model also extends assistance to shelter, energy, weatherization, HIV and AIDS counseling, home visits, and mobile medical/dental clinics.
Explore our short clips, "WE{rel="nofollow"} are Yakima - WE are Family" and "YVFWC - And then we grew{rel="nofollow"}," for a glimpse into our dedication to our communities, health, and families.
What We Offer
- $27.70 -$33.00/Hour DOE with ability to go higher for highly experienced candidates.
- 100% employer-paid health insurance for employees including Medical, Dental, Vision, Rx, 24/7 telemedicine; profit sharing, 403(b) retirement plan, generous paid time off, paid holidays, uniform allowance, and more.
Essential Functions/Responsibilities/Duties
Support updating and maintaining CHPW coding guidelines to reflect changes of the ICD-10 CM Official Guidelines for Coding and Reporting, new AHA Coding Clinic Advice and new guidance from Center for Medicare & Medicaid Services (CMS). Interpret changes in the external regulatory environment and support modifying CHPW policies accordingly in coordination with the Risk Adjustment Supervisor and Risk Adjustment Program Manager. Keep current on regulatory and coding issues/best practices, including AHA Coding Clinics and ICD-10 Official Guidelines for Coding and Reporting.
Present findings via verbal and written updates to internal and external audiences, including peer-to-peer, department leadership (Manager, Director, Sr. Director, VPs) reporting, provider and clinical teams, and vendor support teams.
Update and distribute provider feedback reports periodically as needed for identifying provider performance trends and participate in creating templated materials to report all significant audit findings, including trends and associated recommendations (e.g., training, oversight, monitoring, process flow changes, documentation, and coding education) specific to internal departments, coding vendors, and others.
Serve as Risk Adjustment coding operational lead and coding SME. Coordinate with the Coding Supervisor to prioritize tasks of other full-time and/or temporary coding staff as needed. Support overread and validation of other coders' documentation review performance where appropriate.
Lead the risk adjustment coding and documentation quality assurance process and oversee the workflow of the retrospective coding review.
Identify and implement practices and QA process improvement opportunities.
Monitor and comply with internal coding guidelines, department policies, and CMS risk adjustment guidelines, rules, and regulations. Stay current with changes in the external regulatory environment and modify CHPW policies accordingl