Coding Specialist

Summary

Join Signify Health as an ICD-10 coder, responsible for reviewing and coding health risk evaluations for Medicare and Medicaid members. You will ensure accuracy and compliance with CMS guidelines, communicate with supervisors about issues, and utilize advanced medical coding knowledge. This role requires an active CPC, CPC-A, COC, CCS, CCS-P, or CCA certification, along with a CRC and ICD-10 coding certification. A minimum of one year of ICD-10 coding experience is necessary. Signify Health offers a competitive salary, comprehensive benefits including medical, dental, vision, 401(k), and paid time off, and opportunities for professional development.

Requirements

• Must hold an active CPC, CPC-A, COC, CCS, CCS-P or CCA
• 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
• Employee Stock Purchase Plan
• Education assistance
• Free development courses
• Paid time off programs
• Paid holidays
• A CVS store discount
• Discount programs with participating partners