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Certified Coder

Certified Coder

Bloom ValueHemet, CA, US
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Job Description

Job Description

Salary : $20-45 / hour DOE

Certified Coder

Bloom Value Corporation

www.bloomvalue.com

Bloom Value Corporation is a technology start up based in Sacramento, CA, USA. Founded by a diverse group of IT industry and healthcare leaders, Bloom Value is focused on financial and operational value optimization. Our founders include Enterprise AI pioneers, Finance and Operations experts, Change Management experts and Physicians. The team has Research, Development and Consulting experience across a broad range of industries and provider institutions.

Bloom is looking for talented certified coders with a flair for technology and learning. Candidates will be using there coding skills to help clients with Risk Adjustment. Simultaneously, candidates will also be involved in helping develop AI Solutions to support risk coding.

Job Location : Remote

Job Type : Contract / Part Time With Opportunity To Convert To Full Time

Core Job Responsibilities

  • Conduct retrospective, prospective, and concurrent Risk Adjustment audits.
  • Drives industry best practices and performance on driving key KPIs (#visits, RAF score, AWV completion rates, Coding accuracy chart reviews, HCC recapture)
  • Collaborate with the Coding team to identify and enhance opportunities for improving risk adjustment coding, provider coding accuracy, and tracking of risk score trends
  • Identify HCC and Quality education and training opportunities for providers to ensure compliant documentation, based on audit results.
  • Assist provider engagement and operations teams to maximize efficiency for provider conducted risk and quality visits.
  • Produce Weekly Status Reports.
  • Retrieve electronic records and obtain records from external sources.
  • Perform general administrative tasks

Educational and Skills Required

  • Coding Certification through AHIMA or AAPC (at least one below) :

    • Certified Professional Coder (CPC), Certified Risk Coder (CRC), Certified Coding Specialist for Providers (CCS-P), or Registered Health Information Management Technician (RHIT)

  • High School Diploma or GED equivalence
  • Proficiency in Excel, Word, PowerPoint, and Outlook, and in general file folder organization / usage
  • EMR Knowledge / experience a plus
  • Able to read, write legibly, and speak in English with professional quality

    • Position Requirements

  • Strong knowledge of the healthcare industry special programs, including :

    • HEDIS, Quality Measures

  • Risk Adjustment and HCC
  • Responsible, diligent and attention to detail characteristics
  • Strong organizational skills.
  • Able to manage multiple assignments effectively.
  • Capable of working independently and completing tasks with minimal supervision.
  • Able to relate and communicate positively, effectively, and professionally with others.
  • Previous experience in customer service with excellent communication abilities preferred.
  • Ability to work calmly and respond courteously when under pressure.
  • Able to think critically
  • Proactive attitude, able to anticipate and meet team needs.
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