Kelsey-Seybold

  • Senior HCC Coding & Quality Assurance Specialist

    Location US-TX-Pearland
    Posted Date 3 days ago(12/12/2018 3:56 PM)
    Job ID
    2018-19615
    Category
    Coding
  • Overview

    Senior HCC Coding & Quality Assurance Specialist

    Location: Pearland Administrative Office Building

    Department: Kelsey Care Advantage 
    Job Type: Full Time

     

    COMPANY PROFILE

    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.

     

    JOB SUMMARY

    To ensure the accurate coding of diagnoses which fall into the HCC model as required by CMS for Medicare Advantage plans. To ensure documentation of diagnoses meets the requirements set forth by CMS and the Official ICD-10-CM Guidelines for Coding and Reporting.

     

     

    EDUCATION REQUIREMENTS & EXPERIENCE REQUIREMENTS

     (A = basics; B = preferred)

     

    Education

    A.

    Associates degree or 2 years of equivalent experience.

    B.

     

    Experience

    A.

    ICD-10-CM Coding knowledge. Proof of 10+ hours ICD-10-CM training or AAPC ICD-10-CM Assessment certificate. 3+ years experience in HCC coding/auditing and physician education

    B.

     HEDIS experience.

    Licenses

    A.

    CCS-P (Certified Coding Specialist-Physician) or CPC (Certified Professional Coder) or LVN with coding experience

    B.

     

    Special Skills

    A.

    Analytical. High attention to detail. Efficient. Flexibility. High work ethic. Team building. Knowledge of Medicare Advantage or other HCC entity program coding requirements.

     

    B.

    Proficient in Word, Excel and Outlook. Experience with EPIC EMR.

     

    Other

    A.

    Requires ability to travel locally in your personal vehicle. Ability to speak, write and understand English. Demonstrated excellent problem solving, written and verbal skills. Able to work with people of various educational, cultural and socioeconomic backgrounds.

    B.

     

     

     

     WORKING ENVIRONMENT

     Office

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