HCC Coding Consultant
Location: Pearland Administrative Office
Department: KS Plan Advantage-Hlth Care Fi, 940
Job Type: Full Time
Kelsey-Seybold Clinic. Your Doctors for Life.
Kelsey-Seybold Clinic is Houston’s premier multispecialty group practice, founded in 1949 by Dr. Mavis Kelsey. With 19 clinic locations and more than 400 physicians, Kelsey-Seybold provides medical care in 55 medical specialties and is home to a nationally accredited Breast Diagnostic Center, Endoscopy Center, Infusion Center and Cancer Center. Our mission is to provide our team members with exceptional opportunities for professional and personal growth.
The Healthcare Finance (HCF) department exists to monitor and improve the financial performance of Kelsey-Seybold's (KS) product lines and health plans. The HCF Risk Adjustment Coding and Quality Assurance team is a highly-skilled team of certified coders providing chart review services and consultation to the KS Executive team as well as to physicians and physician leadership through the Risk Adjustment Coding program which is designed to impact revenue through compliant, accurate and complete diagnosis coding and medical documentation.
The HCC Coding Consultant will plan, conduct and coordinate all aspects of operational training related to HCC Coding/Documentation and Medicare Risk Adjustment. The consultant will routinely consult with medical providers to clarify missing or inadequate information and to determine appropriate diagnostic coding. This position will serve as a subject matter expert and training resource related to Medicare Risk Adjustment.
EDUCATION REQUIREMENTS & EXPERIENCE REQUIREMENTS
(A = basics; B = preferred)
Associates degree or 2 years of equivalent experience.
Bachelor’s degree in health-related field
Certified Risk Adjustment Coder (CRC) or Certified Professional Coder (CPC) at time of hire. Both credentials must be obtained within first 6 months in position.
CPMA (Certified Professional Medical Auditor, CDEO (Certified Documentation Expert Outpatient), RN, RHIA or, RHIT
Ability to travel regionally up to 50%