Associate, Risk Adjustment Coder

Qualifications you'll bring:

• High School Diploma or GED Coding education including understanding of proper guidelines and usage of ICD-10-CM, CPT and HCPCS RHIT - Registered Health Information Technologist or CPC-P - Certified Professional Coder (Physician) or CCS-P - Certified Coding Specialist (Physician), and CRC-Certified Risk Adjustment Coding Credential preferred.
• Minimum of 1 year physician billing or coding experience
• Detail oriented with high degree of accuracy. Meeting monthly accuracy > 98% for all work completed.
• Ability to exercise discretion in handling confidential member information.
• Ability to verify and ensure the accuracy, completeness, specificity and appropriate coding based on CMS HCC categories and guidelines.
• Proficiently analyzing and translating medical and clinical diagnosis, procedures, and illnesses into Risk Adjustable codes.
• Strong commitment to customer service and understanding and responding to customer needs within specific timeframes.
• Proficiency with Microsoft Word, Excel and PowerPoint or comparable software required.
• Proficiency with FACETS required within six months from date of hire.
• Curiosity to foster innovation and pave the way for growth with strong analytical skills
• Humility to play as a team and problem solve
• Commitment to being the difference for our customers in every interaction

Your key responsibilities:

• Identify, collects, assesses, monitors, and documents claim and encounter coding information as it pertains to CMS Hierarchical Condition Categories (HCC).
• Actively participates in and supports the Risk Adjustment team-based environment to educate providers on coding compliance and consistency.
• Works with the Coding Leader of Risk Adjustment to ensure coding compliance and appropriate reimbursement from CMS.

• Contribute to our humble pursuit of excellence by performing various responsibilities that may arise, reflecting our collective goal of enhancing healthcare delivery and being the difference for the customer.

Where you'll be:

Location: Remote within New York State. Must be located within a 45-mile radius from Schenectady, NY; Rochester, NY

#CS

Pay Transparency
MVP Health Care is committed to providing competitive employee compensation and benefits packages. The base pay range provided for this role reflects our good faith compensation estimate at the time of posting. MVP adheres to pay transparency nondiscrimination principles. Specific employment offers and associated compensation will be extended individually based on several factors, including but not limited to geographic location; relevant experience, education, and training; and the nature of and demand for the role.

We do not request current or historical salary information from candidates.
MVP's Inclusion Statement
At MVP Health Care, we believe creating healthier communities begins with nurturing a healthy workplace. As an organization, we strive to create space for individuals from diverse backgrounds and all walks of life to have a voice and thrive. Our shared curiosity and connectedness make us stronger, and our unique perspectives are catalysts for creativity and collaboration.

MVP is an equal opportunity employer and recruits, employs, trains, compensates, and promotes without discrimination based on race, color, creed, national origin, citizenship, ethnicity, ancestry, sex, gender identity, gender expression, religion, age, marital status, personal appearance, sexual orientation, family responsibilities, familial status, physical or mental disability, handicapping condition, medical condition, pregnancy status, predisposing genetic characteristics or information, domestic violence victim status, political affiliation, military or veteran status, Vietnam-era or special disabled Veteran or other legally protected classifications.

To support a safe, drug-free workplace, pre-employment criminal background checks and drug testing are part of our hiring process. If you require accommodations during the application process due to a disability, please contact our Talent team at hr@mvphealthcare.com.

• Headquarters Office, 625 State Street, Schenectady, New York, United States of America
• Rochester Office, 20 S. Clinton Ave, Rochester, New York, United States of America