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Risk Adjustment Coding Analyst

Company: Cenpatico
Location: Little Rock
Posted on: November 9, 2019

Job Description:

Risk Adjustment Coding Analyst USA-Arkansas-Little Rock Position Purpose: Audit vendor and internal risk adjustments coding to ensure accuracy and identify and mitigate any risks. * Validate provider, vendor, and internal diagnosis coding for accuracy by reviewing and analyzing samples of coding and claims extract compared to actual medical records * Review and identify trends in coding discrepancies and notify applicable department for potential training and education * Determine coding issues and discrepancies and make updates as necessary * Identify issues, determine impact to risk adjustment models and reports results for various products and services * Coordinate delete files with leadership from Medicaid, Medicare, and Marketplace and Encounters department Education/Experience: High school diploma or equivalent and 2+ years of medical coding, risk adjustment coding or Hierarchical Condition Category (HCC) coding experience in the healthcare industry OR Associate s degree in health related field and 1+ years of medical coding, risk adjustment coding or Hierarchical Condition Category (HCC) coding experience in the healthcare industry. Experience with various risk adjustment methodology and chart audits. Licenses/Certifications: CPC, CPC-H, CPC-P, CCS, CCS-P, RHIT, RHIA or CPMA required. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Claims Operations Full-time

Keywords: Cenpatico, Little Rock , Risk Adjustment Coding Analyst, Professions , Little Rock, Arkansas

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