Sentara

Risk Adjustment Coding & Documentation Specialist

Sentara(1 month ago)

OnsiteFull TimeMedior$61,003 - $83,614 (estimated)Health Information Management / Risk Adjustment
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About this role

A Risk Adjustment Coding Specialist at Sentara Health focuses on ensuring accurate and compliant diagnosis coding for CMS and HHS risk adjustment programs. The role supports validation and oversight activities related to medical record coding and vendor coding processes, and serves as a subject matter expert on risk adjustment coding guidelines. The position contributes to maintaining model integrity and understanding the financial implications of risk adjustment models.

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Required Skills

  • Risk Adjustment
  • Medical Coding
  • ICD-10
  • HCC Coding
  • RADV Audits
  • Medical Record Review
  • Vendor Oversight
  • Audit Reporting
  • Root Cause Analysis
  • Provider Engagement

+1 more

Qualifications

  • Associate Degree
  • Certified Professional Coder (CPC)
  • Certified Outpatient Coder (COC)
  • Certified Inpatient Coder (CIC)
  • Certified Coding Specialist-Physician-based (CCS-P)
  • Certified Coding Specialist (CCS)
  • Registered Health Information Technician (RHIT)
  • Registered Health Information Administrator (RHIA)
  • Certified Risk Adjustment Coder (CRC)
Sentara

About Sentara

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