Risk Adjustment Coder - Sentara : Job Details

City/State

Virginia Beach, VA

Work Shift

First (Days)

Overview:

Sentara Health is seeking to hire a qualified individual to join our team as Risk Adjustment Coder.

Position Details

• Position Status: Full-time, Day Shift
• Position Location: Hybrid work model - 1 day week on-site in Virginia Beach; initial onboarding & training will be in-office
• Standard Working Hours: 8:00AM to 5:00PM

Role Overview

This role involves educating primary & specialty care providers and staff on appropriate HCC coding & documentation through virtual sessions and in-person site visits. Responsibilities include retrospective auditing to ensure compliance with HCC coding & documentation guidelines.

Education Requirements

• Associate degree required in healthcare administration, nursing, health information management, accounting, finance, or related field
• or
• 4 years of medical coding experience in lieu of an associate's degree

Certification/Licensure

• Required certifications: CPC, COC, CIC, CCS-P, CCS, RHIT, or RHIA
• Must obtain CRC certification within two years of employment

Experience

• Two years of coding experience required
• One year experience with medical records (paper or electronic)
• Thorough knowledge of ICD-10-CM guidelines and AHA Coding Clinics
• Preferred: one year experience with risk adjustment programs in a health plan or provider setting, and experience with CMS, HHS, or CDPS+RX HCC models

Benefits

We offer comprehensive benefits including medical, dental, vision, adoption, fertility and surrogacy reimbursement, paid time off, parental leave, emergency backup care, disability plans, life insurance, 401k with match, tuition assistance, student debt paydown, certification reimbursements, pet insurance, legal resources, and potential bonuses.

Equal Opportunity & Environment

Sentara Health is an equal opportunity employer committed to diversity and inclusion. We are a tobacco-free environment supporting our mission to improve health every day.

Remote Work Eligibility

We employ associates in multiple states including Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.

#J-18808-Ljbffr