Coder I - Risk Adjustment, Geisinger Health Plan (Work from home Eastern United States EST)

Geisinger • Danville, PA • 1d ago

Job Summary

Risk Adjustment coding is the transformation of verbal descriptions of diseases and injuries into alphanumeric designations. The coding process reviews and analyzes health records to identify relevant diagnoses for distinct patient encounters. A joint effort between the healthcare provider and the coder is essential to achieve complete and accurate documentation, code assignment, and reporting of diagnoses.

Job Duties

Reviews the content of the medical record for hospital and professional inpatient and outpatient records to identify diagnosis codes.

Carefully details review of documents such as various scan reports, history and physical, consultations, progress notes and office visit records needed to ensure all pertinent diagnoses are recorded.

Translates all diagnostic phrases utilized by healthcare providers into coded form.

Using the Encoder software program, determines the codes for all risk adjustable diagnoses.

Assigns codes based on hospital and professional coding guidelines, Coding Clinic directives, federal regulations, CCI coding initiatives, CPT Assistant or other standard coding guidelines.

Updates and corrects historical file data by completing and submitting possible deletes.

Work is typically performed in a home office environment. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job.

This posting reflects an opening for Coder I and we are seeking candidates for that position. Geisinger reserves the right to consider applicants for higher levels of this role to include Coder II based on their skills, qualifications, and experience. We encourage all qualified individuals to apply.

Position Details

Coder level II requires minimum one coding certification:CPC - Certified Professional Coder

CRC - Certified Risk Adjustment Coder

RHIT - Registered Health Information Technician

Education

High School Diploma or Equivalent (GED)- (Required), Graduate from Specialty Training Program- (Preferred)

Experience

Minimum of 1 year-Related work experience (Required)

Certification(s) and License(s)

Certified Professional Coder - American Academy of Professional Coders (AAPC); Certified Risk Adjustment Coder - American Academy of Professional Coders (AAPC); Registered Health Information Technician (RHIT) - American Health Information Management Association

OUR PURPOSE & VALUES: Everything we do is about caring for our patients, our members, our students, our Geisinger family and our communities. KINDNESS: We strive to treat everyone as we would hope to be treated ourselves. EXCELLENCE: We treasure colleagues who humbly strive for excellence. LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow. INNOVATION: We constantly seek new and better ways to care for our patients, our members, our community, and the nation. SAFETY: We provide a safe environment for our patients and members and the Geisinger family We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners. Perhaps just as important, from senior management on down, we encourage an atmosphere of collaboration, cooperation and collegiality. We know that a diverse workforce with unique experiences and backgrounds makes our team stronger. Our patients, members and community come from a wide variety of backgrounds, and it takes a diverse workforce to make better health easier for all. We are proud to be an affirmative action, equal opportunity employer and all qualified applicants will receive consideration for employment regardless to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or status as a protected veteran.

We are an Affirmative Action, Equal Opportunity Employer Women and Minorities are Encouraged to Apply. All qualified applicants will receive consideration for employment and will not be discriminated against on the basis of disability or their protected veteran status.

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