Summary

The Coder of Risk Adjustment will be responsible for accurate, compliant coding and documentation review to support Medicare risk adjustment and organizational compliance. The Coder performs post review production coding, medical record review abstraction in support of the Healthcare Effectiveness Data and Information Set (HEDIS) data collection. The role also includes preparing charts for scheduled health assessments, identifying documentation and coding opportunities for provider review, and providing guidance on coding and documentation requirements related to those charts. The Coder must be well grounded in sound medical coding practices. Knowledge of HEDIS data collection is required. This is an onsite position.

Job description

Job Summary

The Coder of Risk Adjustment will be responsible for accurate, compliant coding and documentation review to support Medicare risk adjustment and organizational compliance. The Coder performs post review production coding, medical record review abstraction in support of the Healthcare Effectiveness Data and Information Set (HEDIS) data collection. The role also includes preparing charts for scheduled health assessments, identifying documentation and coding opportunities for provider review, and providing guidance on coding and documentation requirements related to those charts. The Coder must be well grounded in sound medical coding practices. Knowledge of HEDIS data collection is required. This is an onsite position.

Qualifications and Requirements

High School Diploma, GED or equivalent required; Associates degree preferred
Minimum one (1) year experience in CMS HCC risk adjustment coding required
Successful completion of coding certification program (CCS, CPC, CRC, or RHIT)
ICD-10 and CPT II coding proficiency
Must have the ability to meet 95% & above accuracy
Must have the ability to meet CPH expectations
Ability to effectively communicate in English, both verbally and in writing
Proficient in Microsoft Office Suite, Word, Excel and Access
Excellent written and oral communication skills
Attention to the detail
Must have the ability to work independently
Insurance industry
Knowledge of HEDIS data collection is preferred

Requirements

High School Diploma, GED or equivalent required
Associates degree preferred
Minimum one (1) year experience in CMS HCC risk adjustment coding required
Successful completion of coding certification program (CCS, CPC, CRC, or RHIT)
ICD-10 and CPT II coding proficiency
Must have the ability to meet 95% & above accuracy
Must have the ability to meet CPH expectations
Ability to effectively communicate in English, both verbally and in writing
Proficient in Microsoft Office Suite, Word, Excel and Access
Excellent written and oral communication skills
Attention to the detail
Must have the ability to work independently
Insurance industry
Knowledge of HEDIS data collection is preferred

Benefits

Loan Forgiveness Program
Competitive Compensation
Generous Paid Time Off
Medical, Dental & Vision
Prescription Drug Plans
401(k) Matching
Discounted Stock Plan
Student Loan Refinancing
Career Development Opportunities

Company overview

Universal Health Services, Inc. (UHS) is one of the nation's largest and most respected providers of hospital and healthcare services, operating as a Fortune 300 corporation headquartered in King of Prussia, Pennsylvania. Founded in 1979, UHS has grown into a major healthcare enterprise with approximately 99,000 employees and annual revenues exceeding $14 billion. The company operates through its subsidiaries, managing 29 acute care hospitals, 331 behavioral health facilities, and 60 outpatient and other facilities across 39 U.S. states, Washington D.C., Puerto Rico, and the United Kingdom. UHS provides comprehensive healthcare services including acute care, behavioral health treatment, cancer centers, and ambulatory surgical centers. The company's strategy focuses on building or acquiring high-quality hospitals in rapidly growing markets and investing in advanced medical equipment and skilled personnel to become the leading healthcare provider in each community it serves. UHS is publicly traded on the New York Stock Exchange (NYSE: UHS) and has established a strong reputation for delivering compassionate, high-quality care while maintaining financial stability and operational excellence.