Title: Risk Adjustment Outpatient Coder

Location: Corvallis, OR 97330

Duration: 13 Weeks

Shift: Day, No Weekends

Pay Rate: $1400-$1500 Weekly Gross

Job Details

JOB SUMMARY/PURPOSE

• Develops, implements, and maintains auditing practices related to medical record coding and documentation to enhance risk adjustment outcomes for Medicare members. Ensures member medical records comply with CMS's Risk Adjustment Data Validation procedures. Responsible for ensuring risk score accuracy, identifying and communicating coding and documentation quality trends, and developing provider intervention strategies

DEPARTMENT DESCRIPTION

• Samaritan Health Plans (SHP) operates a portfolio of health plan products under several different legal structures: InterCommunity Health Plans, Inc. (IHN) is designated as a regional Coordinated Care Organization (CCO) for Medicaid beneficiaries; Samaritan Health Plans, Inc. offers Medicare Advantage, Commercial Large Group, and Commercial Large Group PPO and EPO plans; SHP is also the third-party administrator for Samaritan Health Services’ self-funded employee health benefit plan. As part of an Integrated Delivery System, Samaritan Health Plans is strategically and operationally aligned with Samaritan Health Services’ mission of Building Healthier Communities Together.

EXPERIENCE/EDUCATION/QUALIFICATIONS

• Bachelor’s Degree or equivalent experience required.
• Current RHIA, RHIT or CPC Certified Coder through AAPC and/or AHIMA required.
• Certified Risk Adjustment Coder (CRC) preferred.
• Two (2) years coding experience with at least one (1) year of specialized experience with the CMS-HCC (Hierarchical Condition Category) model required.
• Experience with computer applications, including MS Office (Excel, Word, PowerPoint) required.
• Experience with Epic workflows preferred.
• Experience working in NLP coding platform preferred.
• Must have experience with health plans.

Job Type: Contract

Salary: $1,400.00 - $1,500.51 per week

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

Work setting:

• Hospital

Experience:

• Outpatient Coding: 2 years (Required)
• CMS-HCC: 1 year (Required)

License/Certification:

• RHIA or RHIT or CPC (Required)

Ability to Relocate:

• Corvallis, OR 97330: Relocate before starting work (Required)

Work Location: In person