Job Details

Job Details

Level
Experienced

Job Location
Bluestem PACE - McPherson, KS

Position Type
Full Time

Education Level
Some College Preferred

Travel Percentage
None

Job Shift
Day

Description

Bluestem PACE is looking for a full-time Risk Adjustment Coder to join our team!

Join our team and enjoy outstanding benefits!

At Bluestem Communities, we value our full-time team members and offer a benefits package designed to support both your personal and professional well-being. As a full-time employee you can enjoy the following benefits:

Health and insurance

• Health, dental and vision insurance
• Flexible Spending Accounts (medical & childcare available)
• AFLAC products
• Voluntary life insurance

Financial wellness

• 401(k) plan with company match
• Gradifi student loan payment program
• Payactiv: Early access to earned wages

Company-paid benefits

• Group term life and AD&D insurance
• Short-term disability insurance
• Employee Assistance Program (EAP)

Time off and perks

• Paid Time Off (PTO) and six (6) paid holidays
• Bluestem Wellness Center membership
• Meal discounts at our dining locations

Our benefits are designed to help you thrive both personally and professionally. Explore the full range of benefits and learn more about how Bluestem Communities can be the right fit for you-visit our Careers page today!

Position Overview:

The Risk Adjustment Coder is responsible for coordinating implementation of programs designed to ensure all diagnoses are coded according to CMS and risk adjustment coding guidelines and conditions are properly supported by appropriate documentation in the participant chart.

Essential Job Functions:

Coding:

• Review and assign accurate medical codes for diagnoses performed by providers and other qualified health care providers
• Identify and communicate documentation deficiencies to providers to improve documentation for accurate risk adjustment coding
• Understand the anatomy, pathophysiology, and medical terminology necessary to correctly code diagnoses
• Collaborate with providers to implement measurable, actionably solutions that will result in improved accuracy for documentation and coding practices
• Understand the audit process for the Hierarchical Condition Categories risk adjustment model
• Maintain a clear understanding of guidelines, regulations, diagnosis coding, and risk adjustment as well as adhere to federal, state and local regulations
• Educate providers and staff on coding regulations and changes as it relates to quality and risk adjustment to ensure compliance
• Performs analysis and provides feedback to providers on a regularly scheduled basis
• Facilitate communication with auditors and consultants on diagnosis and clinical documentation
• Adhere to Bluestem policies and procedures
• Review and capture diagnosis codes from prior medical records
• Ensure hospital documentation supports diagnosis codes
• Monitor and follow up on Encounter Data System (EDS) process

Qualifications and Experience:

• 1-year experience working with the elderly
• Excellent organization and attention to detail
• Exceptional written and oral communication skills
• Proficient with computers and Microsoft Office
• Certification preferred (CCA Certified Coding Associate, CCS Certified Coding Specialist, CPC Certified Professional Coder, CRC Certified Risk Adjustment Coder)

Physical Requirements:

Light Work - Exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently. Requires walking or standing to a significant degree; or requires sitting most of the time but entails pushing and/or pulling of arm or leg controls.