Risk Adjustment Coding Specialist at AdventHealth

Date Posted: 1/6/2020

Job Snapshot

  • Job Schedule
  • Location:
    Maitland, FL
  • Job Category
  • Date Posted:
  • Job ID:
  • Job Family
    Physician Services
  • Travel
    Yes, 25 % of the Time
  • Shift
    1 - Day
  • Application Zone
    1-Shared Services
  • Organization
    AdventHealth Corporate

Job Description


Location Address: 101 Southhall Lane, Maitland, FL 32751

Top Reasons To Work At AdventHealth Corporate

  • Great benefits
  • Immediate Health Insurance Coverage
  • Career growth and advancement potential
Work Hours/Shift:
  • Full-Time, Monday – Friday

You Will Be Responsible For:

  • Review and assess documentation and accurately translates chronic conditions into the appropriate diagnosis code from inpatient and outpatient medical records
  • Extracts data for Health Plan reports
  • Inputs data collected from HCC programs
  • Coordinates audits of Provider coding data
  • Responsible for scheduling of audits
  • Sends Provider the list for chart reviews and provides follow-up communication
  • Assists in obtaining medical records from Providers to support audits requested by Health Plans
  • Assists in coordinating Physician and staff training sessions

What You Will Need:
  • Minimum of three years of healthcare experience
  • Minimum of 3 years’ experience in HCC coding
  • High level of interpersonal and communication skills necessary to establish rapport with physicians and other healthcare providers.
  • Basic MS Office (Word, Outlook, Excel and PowerPoint) knowledge
  • Ability to perform the following: Faxing, scanning, record storage, archiving records for storage
Job Summary:

The Medicare Risk Adjustment Coding Specialist coordinates and supports retrospective and concurrent chart reviews in addition to education and chart retrieval for Health Plan audits and reports.  Uses knowledge of Hierarchical Condition Categories (HCC) coding to translate, input, extract and validate medical record data.

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.

Location | Organization | Category | Job Function