Assist providers in understanding incentive programs, Medicare STARS and CMS -HCC Risk Adjustment driven payment methodology
Ensure accurate chart documentation of diagnosis and procedure codes
Deliver thorough and accurate trainings and consultations on ICD-10 and CPTII codes to providers and appropriate staff
Educate providers on current billing and documentation practices in accordance with state and federal regulations
1+ years of experience in Risk Adjustment and HEDIS / Stars
3+ years of clinic or hospital experience and/or managed care experience
Certified Risk Adjustment Coder or Certified Professional Coder with the American Academy of Professional Coders. Requirement to obtain both certifications, CRC and CPC, within the first year in position (CRC within 6 months of hire and CPC within 1 year of hire).
Preferred Bachelor’s degree in a relevant field
RN, NP and PAs with relevant
Knowledge of ICD10-CM coding and EMR
Advanced proficiency with MS Office (Excel, PowerPoint and Word)
Excellent Oral and Written communication skills with the ability to deliver group trainings and build long-term relationships
You’ll be rewarded and recognized for your performance in an environment that will challenge you! We invest in your career by offering employee development programs and internal growth opportunities.
Sunday-Thursday Israel working hours