About this role
Join Community
The Innovative Healthcare Collaborative of Indiana, (IHCI), is a joint venture between Community Health Network and Deaconess Health system. Its goal is to support our sponsors and partners in their strategic evolution to positively impact and improve the healthcare delivery system.
Make a Difference
Reporting to the Clinical Documentation Integrity Manager, this role performs patient chart reviews to ensure the appropriateness and
completeness of diagnostic coding with evidence based on CMS HCC standards. The Risk Adjustment Coder is responsible for:
- Timely, accurate, and complete review of patient charts following patient encounters, utilizing a variety of technical platforms to complete
workflows - Validating diagnosis codes representing patient conditions along with necessary MEAT documentation
- Ensuring coding is consistent with guidelines from regulatory entities
- Conducting audits to meet compliance with ACA standards
- Creating post-visit queries with follow up
- Collaborating with CDI team members, particularly with clinical findings
- Contributing to the provider education body of work, participating in pre-encounter reviews as needed
Exceptional Skills and Qualifications
Applicants should be able to adapt to a variety of situations, changes, and new learnings. Applicants for this position are detail-oriented, organized, and are critical thinkers.
- High School diploma or GED is required.
- Associate degree is preferred.
- Three (3) or more years of experience in professional OUTPATIENT Risk Adjustment (HCC) coding is required
- Three (3) or more years of experience in population health, VBC/ACO is preferred.
- Three (3) or more years of experience in OUTPATIENT Coding is preferred.
- Certification from AAPC, AHIMA or ACDIS required
- This is a REMOTE position. Community caregivers performing work remotely are permitted to live in the following states: Indiana, Illinois, Ohio, Michigan, Kentucky, Florida and Texas. Caregivers are not allowed to perform work remotely outside of the above states. Applicants from other states may apply; however, if hired, they will be required to relocate to one of the above states within 60 days of their employment date.
Other facts
About Community Health Network
Community Health Network was created 60 years ago by our neighbors, for our neighbors. We've never forgotten that heritage. To this day, we're still locally based and locally controlled, and we're as closely tied to our communities as ever.
As a non-profit health system with more than 200 sites of care and affiliates throughout Central Indiana, Community’s full continuum of care integrates hundreds of physicians, specialty and acute care hospitals, surgery centers, home care services, MedChecks, behavioral health and employer health services.
At Community Health Network, we build teams that deliver exceptional care through empathy, communication, and collaboration. Caregivers play a vital role in our mission as they fulfill our PRIIDE values: Patients First. Relationships. Integrity. Inclusion. Diversity. Excellence.
Exceptional Care - For Everyone
We want to ensure that each patient, employee, physician, and volunteer feels welcomed, comfortable, and included in our environment at all times. We value different perspectives and welcome conversations about race, gender, religion, sexual orientation and culture. Because it takes everyone to build healthier communities. Our promise of Exceptional care. Simply delivered. means we strive to provide culturally-competent care that meets your individual needs.
What you'll do
- The Risk Adjustment Coder performs patient chart reviews to ensure the appropriateness and completeness of diagnostic coding. Responsibilities include validating diagnosis codes, conducting audits for compliance, and collaborating with the CDI team.
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