Description

Indianapolis-based Community Health Network has launched a joint venture with management company VillageMD to create a new model of care delivery that aims to improve quality of patient care and significantly reduce healthcare costs across the region. Called Primaria Health, the company partners with a growing network of both employed and independent primary care doctors providing the tools, strategies and support to manage care for chronically ill patient populations.  

 An integral member of the Primaria Health team, Risk Adjustment Coders are trained experts in structured clinical assessments, accurate and specific documentation and population health workflows. The role is primarily responsible for identifying gaps in submissions, ensuring correct clinical documentation and identifying areas of coding improvements for CMS Medical Billing, Risk Adjustment and Quality Incentive programs. Risk Adjustment Coders will also own informatics responsibilities for providers before, during, and after patient visits. He/she will leverage informatics to educate primary care physicians and APPs on opportunities to improve their overall coding performance.

 What you might do in your first year:  

• Review charts, code chronic disease that meets HCC and Risk Adjustment criteria
• Validate missed coding opportunities
• Demonstrate the ability to appropriately use coding principles to code to the highest specificity and complies with CMS regulations and company goals and policies
• Ensure compliance with established coding guidelines, third party reimbursement policies, regulations and accreditation guidelines
• Review patient charts to ensure accurate coding
• Communicate with physicians about documentation and coding
• Special review projects as assigned for analytics
• Coach, facilitate, solve work problems and participate in the work of the team

What will make you successful here?  

• Keen focus on results and can navigate within ambiguity while maintaining a high-level of humility
• Familiarity with Electronic Health Records documentation methodologies
• Exposure to healthcare operations; primary care preferred
• Demonstrated achievement with change management and quality improvement initiatives
• Exceptional communication skills
• Proven success in building relationships and establishing credibility with doctors, nurses and other clinical staff
• Ability and willingness to take direction and be a member of a team providing patient care
• Basic level of medical knowledge and/or a willingness to learn quickly
• Excellent job attendance 

What you bring to VillageMD:  

• Bachelor’s degree in health information management, science, nursing or comparable field preferred, but not required
• Professional Coding Certification such as CCS, CPC or CRC, required within 6 months of employment

 At VillageMD, we see diversity and inclusion as a source of strength in transforming healthcare. We believe building trust and innovation are best achieved through diverse perspectives. To us, acceptance and respect are rooted in an understanding that people do not experience things in the same way, including our healthcare system. Individuals seeking employment at VillageMD are considered without regard to race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.