Review and assess documentation and accurately translates chronic conditions into the appropriate diagnosis code from inpatient and outpatient medical records
Extracts data for Health Plan reports
Inputs data collected from HCC programs
Coordinates audits of Provider coding data
Responsible for scheduling of audits
Sends Provider the list for chart reviews and provides follow-up communication
Assists in obtaining medical records from Providers to support audits requested by Health Plans
Assists in coordinating Physician and staff training sessions
What You Will Need:
Education and Experience Required:
Minimum of three years of healthcare experience
Minimum of 3 yearsâ™ experience in HCC coding
License or Certification Required:
CPC (Certified Professional Coder)
Knowledge and Skills Required:
High level of interpersonal and communication skills necessary to establish rapport with physicians and other healthcare providers.
Basic MS Office (Word, Outlook, Excel and PowerPoint) knowledge
Ability to perform the following: Faxing, scanning, record storage, archiving records for storage
The Medicare Risk Adjustment Coding Specialist coordinates and supports retrospective and concurrent chart reviews in addition to education and chart retrieval for Health Plan audits and reports. Uses knowledge of Hierarchical Condition Categories (HCC) coding to translate, input, extract and validate medical record data.
AdventHealth Greater Orlando (formerly Florida Hospital) is one of the largest faith-based health care providers in the United States. For 150 years, we have carried on a tradition of providing whole-person care that not only addresses patients' physical ailments, but also supports their emotional and spiritual well-being. We demonstrate the same level of compassion and care for our employees as well, doing all that we can to help them realize their full potential – both personally and professionally.