Evaluates medical records, identifying, collecting, assessing, monitoring and documenting coding information as it pertains to Medicare HCC and other risk-adjustment model diagnosis codes. In partnership with the Ambulatory Clinical Documentation Improvement Specialist, this position will be responsible for providing risk adjustment education and training for healthcare provider professionals, serving as risk adjustment coding subject matter expert and assisting internal and external partners of Kootenai Care Network.

•    Verifies and ensures the accuracy, completeness, specificity, and appropriateness of risk adjustable diagnosis codes based on services rendered and in accordance with nationally recognized coding guidelines

•    Performs other related duties as assigned

•    Familiar with standard concepts, practices, and procedures within the field 

•    Regular and predictable attendance is an essential job function

•    Competent to meet age specific needs of the unit assigned

 

Requirements and Minimum Qualifications

•    Certification through AHIMA or AAPC; Outpatient Coding: Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) or Certified Coding Specialist-Physician, (CCS-P) required within 1 year of hire

•    Certification as Risk Adjustment Coder preferred

•    Minimum 2 years of experience in healthcare setting required 

•    Minimum 3 years of experience in coding and medical record chart review required 

•    HCC coding experience required or preferred

•    Experience with HCC (Hierarchical Condition Category) Risk Adjustment Model preferred

•    Background in supporting risk adjustment management activities preferred

•    HCC Medical record review processes preferred

•    Understanding of regulatory audits and processes preferred

•    Process improvement understanding

 

Working Conditions

•    Must be able to lift and move up to 35 lbs

•    Must be able to stoop or crouch

•    Must be able to push, pull, or transport heavy equipment

•    Must be able to reach arms above or below shoulder height

•    Must be able to maintain a standing and/or sitting position

•    Typical equipment used in an office job

 

About Kootenai Health

 

Kootenai Health is a highly esteemed healthcare organization serving patients throughout northern Idaho and the Inland Northwest. We have been recognized with many accolades and distinctions, including being a Gallup Great Workplace, No. 1 Best Place to Work in Large Healthcare Organizations, and Magnet™ Status for Nursing Excellence. We pride ourselves on our outstanding reputation as an employer and a healthcare provider.

 

As your next employer, we are excited to offer you:

100% employer-paid health insurance premiums for full-time employees. Part-time employees pay only a small portion a month for medical, dental, and vision coverage. Benefits start 1st of the month following 30 days of employment Kootenai Health’s tuition assistance program is available after 90 days. If you want to further your education, we'll help you pay for it Kootenai Health sponsors retirement plans for employees that enable you to save money on a pre-tax and Roth after tax basis for your retirement. Kootenai Health will match your contributions based on years of service ranging from 3-6 percent. Competitive salaries with night, weekend, and PRN shift differentials An award-winning and incentive-driven wellness program. Including a MyHealth corporate team, onsite financial seminars, and coaching Employees receive discounts at The Wellness Bar, PEAK Fitness, various cell phone carriers, and more Robust and interactive employee referral program And much more

 

Kootenai Health provides exceptional support for extraordinary careers. If you want to work on a high-quality, person-centered healthcare team, we can't wait to meet you!

 

Apply today! Please reach out to Talent Acquisition Consultant Alex Cronnelly at acronnelly@kh.org with questions.  You can also contact the HR Front Desk at 208-625-4620 or email careers@kh.org  .

 

Kootenai Health complies with applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, veteran status, or sex. Kootenai Health does not exclude people or treat them differently because of race, color, national origin, age, disability, veteran status, or sex.