Risk Adjustment Coding and Chart Coordinator

Company: Capital District Physicians Health Plan Inc
Location: Albany
Posted on: September 2, 2024

Job Description:

Grounded by a compelling mission, core values, and compassion for people, CDPHP and its family of companies offer a strong foundation for a rewarding career. Established in 1984, CDPHP is a physician-founded, member-focused, and community-based not-for-profit health plan that offers high-quality affordable health insurance to members throughout New York. The company values people, quality, innovation, and community, and its corporate culture supports those values wholeheartedly. CDPHP is committed to fostering a culture of belonging and takes a wholistic approach to diversity, equity, and inclusion. At CDPHP, the employees have a voice and are encouraged to make an impact at both the company and community levels through engagement and volunteer opportunities. CDPHP invests in employees who share these values and invites you to be a part of that experience.The Risk Adjustment Coding & Chart Coordinator will be responsible for a number of key elements that drive success in the CDPHP Risk Adjustment programs. This includes, but is not limited to, medical record retrieval, transmission of medical records to vendors, provider follow up on record requests, and internal and external audit support (Risk Adjustment Data Validation (RADV).Qualifications:High school diploma or GED required.Minimum of two (2) years of relevant experience in an administrative setting required, experience in a health care setting is preferred.Knowledge of medical terminology, anatomy and physiology, and medical chart review preferred.Experience with working with multiple electronic medical record (EMR) systems is strongly preferred.Knowledge of ICD-10 diagnosis and procedure codes, CPT codes, Revenue codes, and HCPCS codes is preferred.Provider office relations and communication experience strongly preferred.Hierarchical Condition Category (HCC) knowledge preferred.Facets experience preferred.Experience with Microsoft Office, including Word, Excel, Outlook and PowerPoint is required.Demonstrated ability to pro-actively identify problems, as well as recommend and/or implement effective solutions.Demonstrated ability to provide excellent customer service and develop relationships both internally and externally.Demonstrated ability to work with and maintain confidential information.Excellent verbal and written communication skills.Flexibility to adapt to a changing and fast-paced environment.CDPHP salary ranges are designed to be competitive with room for professional and financial growth. Individual compensation is based on several factors unique to each candidate, such as work experience, qualifications, and skills. In addition to cash compensation, CDPHP employees may be eligible for an incentive payment, a discretionary cash reward based on employee and company performance. Some roles may also be eligible for overtime pay.CDPHP compensation packages go far beyond just salary. The company offers a comprehensive total rewards package that includes award-winning health care coverage, health care dollars, a generous paid time off allowance, employee assistance programs, flexible work environment, and much more. Learn about all CDPHP employee benefits at https://www.cdphp.com/about-us/jobs/benefits.As an Equal Opportunity / Affirmative Action Employer, CDPHP will not discriminate in its employment practices on the basis of race, color, creed, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity or expression, transgender status, age, national origin, marital status, citizenship, disability, criminal record, genetic information, predisposition or carrier status, status with respect to receiving public assistance, domestic violence victim status, protected veterans status, or any other characteristics protected under applicable law. To that end, all qualified applicants will receive consideration for employment without regard to any such protected status.CDPHP and its family of companies include subsidiaries Strategic Solutions Management Consultants (SSMC), Practice Support Services (PSS), and ConnectRx Services, LLC.by Jobble

Keywords: Capital District Physicians Health Plan Inc, Albany , Risk Adjustment Coding and Chart Coordinator, Other , Albany, New York