Outpatient Risk Adjustment Coder IHCI

Join Community

Community Health Network was created by our neighbors for our neighbors. Over 60 years later community is still the heart of our organization. It means providing our neighbors with the best care possible backed by state-of-the-art technology. It means getting involved in the communities we serve through volunteer opportunities and benefits initiatives. It means ensuring our dedicated caregivers can learn and grow to stay at the top of their fields and to better serve our patients. And above all it means exceptional care simply delivered and we couldnt do it without you.

Partner with Community Health Network and Deaconess Health System IHCI

The Innovative Healthcare Collaborative of Indiana LLC (IHCI) is a company formed through the partnership of Community Health Network (CHNw) and Deaconess Health System (DHS). Both CHNw and DHS place high importance on continuing and advancing population health and value-based care to improve patient health outcomes.

Make a Difference

Reporting to the Clinical Documentation Integrity Manager this role performs patient chart reviews to ensure the appropriateness and
completeness of diagnostic coding with evidence based on CMS HCC standards. The Risk Adjustment Coder is responsible for:

• Timely accurate and complete review of patient charts following patient encounters utilizing a variety of technical platforms to complete workflows.

• Validating diagnosis codes representing patient conditions along with necessary MEAT documentation.

• Ensuring coding is consistent with guidelines from regulatory entities.

• Conducting audits to meet compliance with ACA standards.

• Creating post-visit queries with follow up.

• Collaborating with CDI team members particularly with clinical findings.

• Contributing to the provider education body of work participating in pre-encounter reviews as needed.

Exceptional Skills and Qualifications

Applicants for this position should be able to collaborate with others in a team setting have excellent communication skills and a positive attitude toward problem-solving.

critical thinkers.

• High School diploma or GED is required.

• Associate degree is preferred.

• Three (3) or more years of experience in professional OUTPATIENT Risk Adjustment (HCC) coding is required.

• Three (3) or more years of experience in population health VBC/ACO is preferred.

• Three (3) or more years of experience in OUTPATIENT Coding is preferred.

• Must obtain one of the following certifications through AAPC and/or AHIMA: CPC CPC-H CPC-I CPC-A CCSP CCS Certified Risk Adjustment Coder (CRC) within 6 months from hire.

• This is a REMOTE position. Community caregivers performing work remotely are permitted to live in the following states: Indiana Illinois Ohio Michigan Kentucky Florida and Texas. Caregivers are not allowed to perform work remotely outside of the above states. Applicants from other states may apply; however if hired they will be required to relocate to one of the above states within 60 days of their employment date.