Overview
Remote
On Site
$78,000 - $82,000 annually
Full Time
Skills
Time management
Microsoft Office
Medical records
Data validation
Health care
Multitasking
Analytical skill
Software development
Leadership
Distribution
Auditing
Collaboration
Regulatory affairs
CMS
Communication
SAP BASIS
Design
Reporting
Data
Electronic Health Record (EHR)
Medicare
Medicaid
Natural language processing
Job Details
RESPONSIBILITIES:
Kforce's Seattle, WA Healthcare Client is growing their Risk Adjustment team and are looking for a 100% remote Senior Risk Adjustment Coding Specialist. This role will be the lead/point person for the whole team. What's needed is ability to lead projects, and drive projects on their own. Not someone who needs to be given tasks or work each day. The role will be guiding other team members with the project work.
Summary:
Essentially, this is a coder/auditor role. The candidate works as a quasi-lead for the coding team, supporting the risk adjustment manager. The Senior Risk Adjustment Coding Specialist would help in setting work distribution across production coders, complete and drive audits (internal and external regulatory audits), update our coding guidelines, collaborate with coding vendors, and present chart review and audit findings.
The client can hire full time employees in the following states:
* Arizona
* Colorado
* Florida
* Idaho
* Illinois
* Indiana
* Iowa
* Kansas
* Louisiana
* Maryland
* Montana
* Nebraska
* Nevada
* New York
* North Carolina
* Ohio
* Oregon
* Pennsylvania
* Tennessee
* Texas
* Washington
* Wyoming
REQUIREMENTS:
* CRC
* 5+ years (not necessarily consecutive) of Risk Adjustment Coding - this is a Senior role (the current manger's "right hand" person)
* Has more than just doing RA/Coding at a Physicians/Doctor's office, must have vendor or health plan experience
* Peer Auditing experience and giving feedback to others on the team
* Knowledge of acceptable medical record standards and criteria in the context of risk adjustment data validation (RADV) audit (experience with HHS RADV and CMS RADV preferred)
* Strong written and verbal communication skills; able to communicate with and collaborate effectively with physicians, allied health care providers, executive leadership, and external vendors
* Ability to multi-task and deal with complex assignments on a frequent basis; Strong organizational, time management skills
* Ability to design and update provider feedback report templates
* Strong analytical skills and the ability to interpret, evaluate and formulate action plans based upon data
* Proficiency and experience with electronic medical record (EMR) software and Microsoft Office products
* Medicare/Medicaid preferred, not required
* CDPS, NLP preferred, not required
The pay range is the lowest to highest compensation we reasonably in good faith believe we would pay at posting for this role. We may ultimately pay more or less than this range. Employee pay is based on factors like relevant education, qualifications, certifications, experience, skills, seniority, location, performance, union contract and business needs. This range may be modified in the future.
We offer comprehensive benefits including medical/dental/vision insurance, HSA, FSA, 401(k), and life, disability & ADD insurance to eligible employees. Salaried personnel receive paid time off. Hourly employees are not eligible for paid time off unless required by law. Hourly employees on a Service Contract Act project are eligible for paid sick leave.
Note: Pay is not considered compensation until it is earned, vested and determinable. The amount and availability of any compensation remains in Kforce's sole discretion unless and until paid and may be modified in its discretion consistent with the law.
This job is not eligible for bonuses, incentives or commissions.
Kforce is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, pregnancy, sexual orientation, gender identity, national origin, age, protected veteran status, or disability status.
Kforce's Seattle, WA Healthcare Client is growing their Risk Adjustment team and are looking for a 100% remote Senior Risk Adjustment Coding Specialist. This role will be the lead/point person for the whole team. What's needed is ability to lead projects, and drive projects on their own. Not someone who needs to be given tasks or work each day. The role will be guiding other team members with the project work.
Summary:
Essentially, this is a coder/auditor role. The candidate works as a quasi-lead for the coding team, supporting the risk adjustment manager. The Senior Risk Adjustment Coding Specialist would help in setting work distribution across production coders, complete and drive audits (internal and external regulatory audits), update our coding guidelines, collaborate with coding vendors, and present chart review and audit findings.
The client can hire full time employees in the following states:
* Arizona
* Colorado
* Florida
* Idaho
* Illinois
* Indiana
* Iowa
* Kansas
* Louisiana
* Maryland
* Montana
* Nebraska
* Nevada
* New York
* North Carolina
* Ohio
* Oregon
* Pennsylvania
* Tennessee
* Texas
* Washington
* Wyoming
REQUIREMENTS:
* CRC
* 5+ years (not necessarily consecutive) of Risk Adjustment Coding - this is a Senior role (the current manger's "right hand" person)
* Has more than just doing RA/Coding at a Physicians/Doctor's office, must have vendor or health plan experience
* Peer Auditing experience and giving feedback to others on the team
* Knowledge of acceptable medical record standards and criteria in the context of risk adjustment data validation (RADV) audit (experience with HHS RADV and CMS RADV preferred)
* Strong written and verbal communication skills; able to communicate with and collaborate effectively with physicians, allied health care providers, executive leadership, and external vendors
* Ability to multi-task and deal with complex assignments on a frequent basis; Strong organizational, time management skills
* Ability to design and update provider feedback report templates
* Strong analytical skills and the ability to interpret, evaluate and formulate action plans based upon data
* Proficiency and experience with electronic medical record (EMR) software and Microsoft Office products
* Medicare/Medicaid preferred, not required
* CDPS, NLP preferred, not required
The pay range is the lowest to highest compensation we reasonably in good faith believe we would pay at posting for this role. We may ultimately pay more or less than this range. Employee pay is based on factors like relevant education, qualifications, certifications, experience, skills, seniority, location, performance, union contract and business needs. This range may be modified in the future.
We offer comprehensive benefits including medical/dental/vision insurance, HSA, FSA, 401(k), and life, disability & ADD insurance to eligible employees. Salaried personnel receive paid time off. Hourly employees are not eligible for paid time off unless required by law. Hourly employees on a Service Contract Act project are eligible for paid sick leave.
Note: Pay is not considered compensation until it is earned, vested and determinable. The amount and availability of any compensation remains in Kforce's sole discretion unless and until paid and may be modified in its discretion consistent with the law.
This job is not eligible for bonuses, incentives or commissions.
Kforce is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, pregnancy, sexual orientation, gender identity, national origin, age, protected veteran status, or disability status.