Coder

Job Type Full-time Description University Health Network is looking for a full-time Medical Coder to focus on risk adjustment for the clinically integrated network associated with The University of Tennessee Medical Center and University Physicians’ Association.
This position requires normal business hours Monday-Friday.
This is a remote position with occasional on-site meetings.
Candidate must be able to maintain HIPAA privacy requirements when working from home.
Candidate must be located in the Knoxville, TN region.
This position is responsible for auditing clinical documentation to capture the accurate disease burden of the patient while adhering to coding guidelines and regulations at a state and federal level.
Essential Duties and Responsibilities (this list does not include all duties assigned) Performs coding services while meeting daily production and quality goals Performs chart audits in multiple EMR systems by reviewing clinical documentation and claims to ensure coding is accurate and supported by appropriate documentation within the medical record Uses CMS and HHS risk adjustment mapping tools to identify HCC coding and documentation opportunities Communicates accurately and compliantly with providers and practice staff through compliant provider queries, reporting, and practice outreach Develops and educates providers on coding and documentation best practices based on coding and CMS RADV guidelines Actively participates in designated team meetings Consistently meets coding productivity and accuracy standards while managing different responsibilities and workflows.
If unable to maintain productivity and accuracy standards, team members will work onsite at the UHN office until standards are met and maintained.
Partners with providers, practice staff, and UHN Coding team to improve quality and efficiencies in coding and documentation Educates and coaches on compliant coding and documentation practices and accurate risk adjustment guidelines Facilitates and supports a culture of compliance, ethics, and integrity Recognized as an expert in risk adjustment coding compliance Interacts effectively and builds respectful working relationships across the organization.
Maintains HIPPA Guidelines for privacy Respects the privacy of all patients 100% of the time Understands and abides by HIPAA laws and regulations and UPA HIPAA policy at all times Obtains consent to release protected health information Reports all HIPAA issues to the Supervisor Remains current on coding rules and guidelines Remains up to date with official AMA ICD-10 coding guidelines and regulations, Medicare, other MA and commercial plans, and internal guidelines Remains up to date with CMS and HHS HCC risk adjustment models Meets CEU requirements and remains in good standing with AAPC/AHIMA certifications Requirements Current CPC or RHIT certification required.
CRC required within 6-months of hire Preferred at least two years of professional medical coding experience in an ambulatory care setting.
E/M coding experience a plus.
Preferred experience and knowledge of HCC coding, knowledge related to chronic illness diagnosis, treatment, and management Must be a team player with effective written and verbal communication, relationship-building, and interpersonal skills Must be initiative-taking, highly organized, and have excellent time management Must possess good problem solving and critical thinking skills Exceptional attention to detail and proficiency in Microsoft Outlook (Outlook, Word, Excel, and PowerPoint) Demonstrates integrity by adhering to high standards of personal and professional conduct