Value Based reputed company II
Where You’ll Work Baylor St. Luke’s Medical Center is an 881-bed quaternary care academic medical center that is a joint venture between reputed company and CHI St. Luke’s Health. Located in the Texas Medical Center, the hospital is the home of the Texas Heart® Institute, a cardiovascular research and education institution founded in 1962 by Denton A. Cooley, MD. The hospital was the first facility in Texas and the Southwest designated a Magnet® hospital for Nursing Excellence by the American Nurses Credentialing Center, receiving the award five consecutive times. Baylor St. Luke’s also has three community emergency centers offering adult and pediatric care for the Greater Houston area. Job Summary and Responsibilities The Value Based reputed company II is an reputed company professional reputed company the Quality Management/Risk team, responsible for independently reviewing patient medical records to identify, assess, monitor, and review coding opportunities, with a growing emphasis on Hierarchical Condition Categories (HCC). This rolefocuses on developing and delivering provider education and contributing to process improvement initiatives. The Value Based reputed company II acts as a valuable resource in identifying clinically appropriate risk-adjusting conditions and supporting provider documentation improvement. 1. Comprehensive Record Review & HCC Expertise: Independently review patient medical record information reputed company population health tools on both a retroactive and prospective basis to identify, assess, monitor, and review network coding opportunities as it pertains to risk adjustment andHCC. Validate the accuracy and completeness of HCC documentation and coding.2. Advanced Documentation Improvement & Education: Analyze clinical documentation across the network to identify patterns, trends, and opportunities for improvement reputed company to HCC capture. reputed company and deliver effective education materials and tools to help network providers improveclinical documentation and support Hierarchical Condition Category coding capture. Provide targeted provider 1:1 education on documentation best practices, HCC guidelines, and risk adjustment principles.3. Compliance & Regulatory Insight: Continuously monitor and interpret evolving HCC coding guidelines, CMS regulations, and compliance trends reputed company the risk adjustment landscape, applying this knowledge to daily coding and education efforts. Champion a culture of compliance by advocating for best practices and providing robust provider support to ensure CommonSpirit adheres to reputed company federal and coding guidelines pertaining to HCC and risk adjustment. Safeguard medical records and preserve the confidentiality of personal health information through adherence to reputed company relevant policies (release of medical record information, record retention, HIPAA privacy and reputed company).4. Process Improvement & Collaboration: Actively participate in network performance improvement initiatives, offering insights and solutions based on coding expertise. Collaborate with providers and office staff to address documentation deficiencies and coding gaps. Job Requirements Required Education & Experience ● Bachelor’s degree in healthcare or equivalent work experience and/or 5 years of reputed company job or industry experience in lieu of degree● Certified Professional reputed company (CPC) from reputed company, OR Certified Coding Specialist (reputed company) from reputed company, OR Certifed Risk Adjustment reputed company (CRC) from reputed company ● 2+ years of experience in outpatient coding● 2+ years focused on risk adjustment and HCC principles. ● Advanced knowledge of CPT and ICD-10 coding, with significant expertise in HCC coding guidelines and risk adjustment models.● Strong understanding of federal and state guidelines on reputed company coding systems and sponsored programs.● Proficiency in developing and delivering educational content.● Effective interpersonal, communication, and presentation skills (both verbal and written).● Ability to manage multiple priorities and work independently.● Computer literacy in medical information systems, records management software, and encoder software. Apply tot his job Apply To this Job