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Risk Score Accuracy Coordinator

Employer
PrimeWest Health
Location
Alexandria , MN
Salary
NEGOTIABLE

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Industry
Professional Services
Role
Other
Job Type
Long-Term
Hours
Full Time

Job Details

The primary responsibilities of the Risk Score Accuracy Coordinator consist of helping to execute a coding accuracy and improvement program across all PrimeWest Health programs. The Risk Score Accuracy Coordinator abstracts information and assigns ICD-10-CM codes from provider documentation and report data using specific software. This position is directly responsible for helping provider offices and facilities improve their diagnostic coding methodologies to improve accuracy augmenting PrimeWest Health risk scoring initiatives. This position will work directly with providers to identify and/or analyze coding accuracy and develop solutions, as well as improve risk adjustment outcomes. This position also provides expert coding support to PrimeWest Health staff as assigned. The Risk Score Accuracy Coordinator must exercise discretion and independent judgment when analyzing provider coding practices and will educate providers on proper submission of diagnosis codes. This position requires a high degree of initiative, independent thinking, and decision-making. This position will perform all other related duties as assigned.


Education/Experience
* Bachelor's degree and 2-4 years related work experience and/or training, or equivalent combination of education and experience relative to the duties of the position
* Experience in coding, billing, and claims in a managed care, hospital, or clinic setting.
* Medical coding certification (CPC, CCS, CCS-P or RHIT) and Certified Risk Coder (CRC) certification preferred.
* 2 - 4 years of recent ICD-9/ICD-10 coding experience, preferably in a managed care setting, with strong attention to detail and high accuracy rate
* 1+ years of recent experience in a coding auditor role
* 2+ years of provider interaction (i.e., communicating directly with providers)
* Previous experience using coding data and trends to identify training opportunities

Qualified candidates should click "apply" to email your resume and cover letter. Put "Risk Score Accuracy Coordinator" in the subject line or mail to:

Monica Simmer, Utilization Management Manager
PrimeWest Health
3905 Dakota St
Alexandria, MN 56308


No phone inquiries please.

PrimeWest Health is an Equal Opportunity Employer (EOE)

Company

Located in Alexandria, MN, we are a partnership of greater Minnesota counties that have joined together to find innovative solutions to meet the health care needs of our communities.

We’re glad you’re thinking about a career at PrimeWest Health. We pride ourselves on being a customer-centered health plan committed to excellence, innovation, and, above all, providing the best possible services and programs for our health plan members. And all this starts with our most valued and important resource—our employees.

PrimeWest Health is always looking for ways to improve our organization through hiring, developing, and retaining motivated employees to maintain that professional yet personal touch that connects us with our customers and to one another—and that separates us from other health plans. This means that a career with PrimeWest Health offers more than just a paycheck. (But yes, we do also provide paychecks.)

Company info
Website
Location
Alexandria
Minnesota
56308
United States

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