Sentara Health is seeking to hire a qualified individual to join our team as Risk Adjustment Coder.

Position Status: Full-time, Day Shift

Position Location: Hybrid work model – 1 day week on-site in Virginia Beach; initial onboarding & training will be in-office

Standard Working Hours: 8:00AM to 5:00PM

Overview

This role consists of educating primary & specialty care providers and staff on appropriate HCC coding & documentation, via virtual sessions and in-person site visits. Duties include retrospective auditing to ensure compliance with appropriate HCC coding & documentation guidelines.

Education

Associate degree required in healthcare administration, nursing, health information management, accounting, finance, or other related field

or

 Iin lieu of associate’s degree, 4 years of medical coding experience is required

Certification/Licensure

One of the following certifications are required: Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Inpatient Coder (CIC), Certified Coding Specialist-Physician-based (CCS-P), Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT), or Registered Health Information Administrator (RHIA)

Must obtain Certified Risk Adjustment Coder (CRC) certification within two years of employment

Experience

Two-years of coding experience required

One-year previous experience with paper and/or electronic medical records required

Must have thorough knowledge and understanding of ICD-10-CM Official Coding Guidelines and AHA Coding Clinics

Prefer one-year experience with risk adjustment program in a Health Plan or Provider setting (i.e. physician office or hospital)

Prefer previous experience with CMS, HHS and/or CDPS+RX Hierarchical Condition Categories (HCC) models.

Prefer previous experience with CMS, HHS and/or CDPS+RX Hierarchical Condition Categories (HCC) models.