JobMesh

Risk Adjustment Coder Analyst- Quality- Hansen

Prevea Health · Green Bay, Wisconsin, US

This position will work 40 hours per week Risk Adjustment Coding Analyst Come work where we specialize in you! We have nearly 2,000 reasons for you to consid...

Job description

This position will work 40 hours per week Risk Adjustment Coding Analyst Come work where we specialize in you! We have nearly 2,000 reasons for you to consider a career with Prevea Health—they're our employees. We're an organization that values kindness, responsibility, inclusivity, wellness and inspiration. At Prevea, we provide continuous education, training and support so every member of the team contributes to our success. Together we are the best place to get care and the best place to give care. Job Summary: At Prevea Health the Risk Adjustment Coding Analyst will perform coding reviews of medical record documentation to ensure proper capture of CMS Hierarchical Condition Categories (HCC) conditions that are applicable to Medicare Risk Adjustment reimbursement activities. The Risk Adjustment Coding Analyst will also be responsible for education on HCC's as well as working with different insurance contracts to aid in closure requirements. What you will do: - Complete thorough medical record reviews, identify and assist the provider to update the Active Problem List for accuracy (highest degree of specificity) by transitioning the less/unspecified diagnoses codes to the most ac...