Porter
Certified Medical Coder - Risk Adjustment
TLDR
Risk adjustment coding specialist with in-home assessment focus, ensuring high CMS coding accuracy and provider education to improve documentation and compliance.
Qualifications
- Certification Required - CPC or CSS
- Minimum 5 years of experience in risk adjustment coding, with specific experience in in-home assessments.
- Expertise in managing provider queries and improving provider documentation through coding feedback.
- Proficiency in using coding clinics and reference tools for accurate coding and provider education.
- Strong knowledge of CMS risk adjustment and quality initiatives, including Hierarchical Condition Categories (HCCs).
- Experience with electronic medical records (EMR) and coding tools.
- Excellent communication skills, with the ability to collaborate with providers and clinical teams to drive coding improvements.
- Strong attention to detail, prioritizing coding quality and compliance.
Preferred Qualifications
Experience in coding audits and providing actionable feedback to providers.
Knowledge of healthcare reimbursement models and regulations impacting risk adjustment coding.
Prior experience in telehealth or in-home care settings.
Benefits
Competitive wage and benefits package.
Opportunities for professional growth and continuing education.
A supportive, collaborative work environment.
Benefits
Education Stipend
Opportunities for professional growth and continuing education.
Porter builds a healthcare IT and services platform focused on care and coverage coordination, enhancing patient outcomes and member experiences. Targeting healthcare providers and patients, Porter leverages AI analytics and a dedicated Care Guide team to simplify navigation through the complex healthcare delivery system. What sets us apart is our commitment to transparency and compassion in every step of the treatment journey.