Coder, Medicare Risk Adjustment- Rochester
MVP Health Care - Rochester, NY

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Identifies, collects, assesses, monitors and documents claim and encounter coding information as it pertains to CMS Hierarchical Condition Categories (HCC). Actively participates in and supports the Medicare Risk Adjustment team-based environment to educate providers on coding compliance and consistency. Works with the Coding Supervisor of Medicare Risk Adjustment to ensure coding compliance and appropriate reimbursement from CMS. Performs other duties as assigned.


Minimum Education:
" High School Diploma or GED
" Coding education including understanding of proper guidelines and usage of ICD-9-CM, CPT and HCPCS
" RHIT Registered Health Information Technologist or CPC-P Certified Professional Coder (Physician) or CCS-P Certified Coding Specialist (Physician) required.

Minimum Experience:
" 1 year experience of physician billing or coding.

Required Skills:
" Strong analytical skills.
" Ability to problem solve.
" Detail oriented with high degree of accuracy.
" Ability to exercise discretion in handling confidential member information.
" Strong commitment to customer service and understanding and responding to customer needs within specific timeframes.
" Valid NYS driver s license and access to a reliable vehicle.
" Proficiency with Microsoft Word, Excel and PowerPoint or comparable software required. Proficiency with FACETS required within six months from date of hire.


About this company
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MVP Health Plan covers about 650,000 most valuable people. Also known as MVP Health Care, the company provides health insurance and employee...