Interwell Health is seeking an experienced Clinical Documentation Reviewer to join our Risk Adjustment team. The Clinical Documentation reviewer will assist risk adjustment manager in data collection and reporting of relevant data to support the chart review accurate coding program. The position will collaborate with the risk adjustment team for education and improvement plans to ensure optimal documentation and program effectiveness while adhering to the IWH corporate compliance programs and following regulatory requirements. 

The work you will do:

• Evaluate chart review performance and provide analysis to assist physicians and/or staff in imporving and supporting coding and documentation practices. 
• Assist with Practice Support of Chart Review Process and Education
• Identify areas of improvement that will be used to plan provider education and create action plans for practices to address deficiencies.
• Prepare documents to present to practices or for follow-ups such as chart note examples, provider documentation trends, provider educational materials or coding guidelines
• Provide coding education to physicians, advanced practitioners, staff as needed
• Ensure compliance with all applicable federal, state and/or county laws and regulations related to coding and documentation guidelines for risk adjustment.
• Promotes transparency and collaborates with project team members to ensure effective coordination

The skills and qualifications you need:

• Certified Professional Coder (CPC)
• Certified Risk Adjustment Coder (CRC) Preferred.
• Bachelor’s degree in related field of study preferred.
• 3 years of experience with Risk Adjustment HCC coding or abstraction.
• 2 years of ICD-10 Coding, Chart Review Auditing.
• Comprehensive understanding of HCC coding rules & regulations.
• Excel, Word, PowerPoint. Must be proficient with Excel functions to develop data trends (pivot tables, graphs, etc).