Cincinnati, OH, 45217, USA
3 days ago
HCC Coder
At Bon Secours Mercy Health, we are dedicated to continually improving health care quality, safety and cost effectiveness. Our hospitals, care sites and clinicians are recognized for clinical and operational excellence. **Primary Function/General Purpose of Position** The HCC Coder provides extensive knowledge of documentation and review to support Bon Secours Mercy Health’s Risk Score Accuracy (RSA) initiative and the Hierarchical Condition Categories (HCC) coding program. The position performs prospective, concurrent, and retrospective chart reviews for ICD-10-CM and CPT Category II coding accuracy and compliant supportive documentation. This role is vital in providing subject matter expertise of Population Health RSA programs to ensure value-based contract success. **Essential Job Functions** + Reviews ambulatory encounters in the electronic medical record for accuracy and appropriateness of provider documentation and ICD-10-CM and CPT Category II coding, to ensure compliance with state and federal guidelines. + Assists HCC Coding Supervisor and System Director of Risk Score Accuracy with special projects involving chart reviews. Identifies and escalates examples of trends related to documentation challenges involving electronic health record/software/information technology processes. + Works with RSA Coding Supervisor to communicate provider coding accuracy concerns and challenges to System and Local Market leadership. + Maintains competency and accuracy while remaining abreast of current requirements of the Center for Medicare and Medicaid Services (CMS) and ICD-10-CM guidelines. + Participates as needed in collaborative coding education forums with other teams throughout Bon Secours Mercy Health. Maintains knowledge of current professional coding certification requirements and promotes recruitment and retention of certified staff in coding positions within the health system. This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Employees may be required to perform other job-related duties as required by their supervisor, subject to reasonable accommodation. **Licensing/Certification** CPC-A or equivalent (required) CPC or CRC (preferred) **Education** High School Diploma or GED (required) Associates Degree in Health Information Management (preferred) **Work Experience** 1 year of ICD-10-CM coding experience (required) Two or more years of ICD-10-CM coding experience (preferred) **Working Conditions** Periods of high stress and fluctuating workloads may occur. General office environment. **Skills** ICD-10-CM CPT Category II Coding conventions and guidelines Medical record content Electronic medical records (EMRs) Independent, Teamwork Keyboarding Computer skills Coding software Communication skills Willingness to learn Medicare Medicaid Information technology Population health Documentation Medical coding EPIC Collaboration Many of our opportunities reward* your hard work with: Comprehensive, affordable medical, dental and vision plans Prescription drug coverage Flexible spending accounts Life insurance w/AD&D Employer contributions to retirement savings plan when eligible Paid time off Educational Assistance And much more *Benefits offerings vary according to employment status All applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. If you'd like to view a copy of the affirmative action plan or policy statement for Mercy Health – Youngstown, Ohio or Bon Secours – Franklin, Virginia; Petersburg, Virginia; and Emporia, Virginia, which are Affirmative Action and Equal Opportunity Employers, please email recruitment@mercy.com . If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The Talent Acquisition Team at recruitment@mercy.com
Confirm your E-mail: Send Email