Signify Health is hiring a
Coding Specialist

Summary

Join our team as a Coding Compliance Specialist and contribute to transforming the home into the healthcare hub. As a key member of our coding team, you will be responsible for ICD-10 coding of Health Risk Evaluations and reviewing assessments to ensure completeness, accuracy, and compliance with CMS guidelines.

Requirements

• Must hold an active CPC,COC, CCS, CCS-P
• Current coding certification in good standing
• CRC required
• ICD-10 Coding Certification will be required
• Minimum of 1 year of experience of ICD-10 coding

Responsibilities

• Reviews health risk assessments/evaluations to determine completion and compliance with CMS guidelines on a timely basis
• Reviews and assesses the accuracy, completeness, specificity and appropriateness of diagnosis codes identified in the health risk assessments/evaluations
• Reviews health risk assessments/evaluations to accurately and completely assign all ICD-9/10 codes that are clinically identified and supported in the assessment/evaluation on a timely basis
• Communicates timely and effectively with supervisor regarding issues with the health risk assessments/evaluations and/or corrections required to the health risk assessments/evaluations
• Understanding the relationship between IC-9/10 coding and HCC (hierarchical condition category) coding
• Utilizes advanced, specialized knowledge of medical codes and coding protocol by providing guidance to the Director of Coding to ensure the organization is following Medicare coding protocol for payment of claims
• Demonstrate a commitment to integrating coding compliance standard into coding practices. Identify, correct and report coding problems
• Maintain adequate knowledge of compliant coding procedures related top Medicare Risk Adjustment
• Maintain coding credentials
• Complete special projects as assigned by management, which require defining problems, and implementing required changes
• Follows all legal and policy requirements for HIPAA protected data
• Actively demonstrates teamwork at all times
• Ability to work overtime
• Is able to meet and maintain required accuracy and efficiency standards

Preferred Qualifications

• Prior work experience in the healthcare field specifically related to coding is preferred
• Experience and knowledge of Medicare HCC coding
• Experience with medical record documentation
• Prior medical chart auditing/quality experience preferred
• Advanced knowledge of medical terminology, abbreviations, anatomy and physiology, major disease processes, and pharmacology

Benefits

• Eligible employees may enroll in a full range of medical, dental, and vision benefits
• 401(k) retirement savings plan
• And an Employee Stock Purchase Plan
• We also offer education assistance, free development courses
• Paid time off programs
• Paid holidays
• A CVS store discount
• And discount programs with participating partners