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Award-winning: Sentara is a Virginia and Northeastern North Carolina based not-for-profit integrated healthcare provider that has been in business for over 131 years. Offering more than 500 sites of care including 12 hospitals, PACE (Elder Care), home health, hospice, medical groups, imaging services, therapy, outpatient surgery centers, and an 858,000 member health plan. The people of the communities that we serve have nominated Sentara “Employer of Choice” for over ten years. U.S. News and World Report has recognized Sentara as having the Best Hospitals for 15+ years. Sentara offers professional development and a continued employment philosophy!
Sentara Health is seeking to hire a qualified individual to join our team as Risk Adjustment Coder.
Position Status: Full-time, Day Shift
Position Location: Hybrid work model – 1 day week on-site in Virginia Beach; initial onboarding & training will be in-office
Standard Working Hours: 8:00AM to 5:00PM
Overview
This role consists of educating primary & specialty care providers and staff on appropriate HCC coding & documentation, via virtual sessions and in-person site visits. Duties include retrospective auditing to ensure compliance with appropriate HCC coding & documentation guidelines.
Education
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Associate degree required in healthcare administration, nursing, health information management, accounting, finance, or other related field
or
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Iin lieu of associate’s degree, 4 years of medical coding experience is required
Certification/Licensure
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One of the following certifications are required: 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), or Registered Health Information Administrator (RHIA)
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Must obtain Certified Risk Adjustment Coder (CRC) certification within two years of employment
Experience
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Two-years of coding experience required
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One-year previous experience with paper and/or electronic medical records required
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Must have thorough knowledge and understanding of ICD-10-CM Official Coding Guidelines and AHA Coding Clinics
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Prefer one-year experience with risk adjustment program in a Health Plan or Provider setting (i.e. physician office or hospital)
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Prefer previous experience with CMS, HHS and/or CDPS+RX Hierarchical Condition Categories (HCC) models.
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Prefer previous experience with CMS, HHS and/or CDPS+RX Hierarchical Condition Categories (HCC) models.
Culture In Action
At Sentara, our differences are our strengths. The unique backgrounds, skills, and experiences that each Sentara colleague brings to work are what make Sentara special and what allows us to deliver excellent service and care to our patients, members, and communities.
Sentara prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.
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