Quality Coding Specialist

OverviewVista Community Clinic is a private, non-profit, multi-specialty outpatient clinic providing care in a comprehensive, high quality setting. Located in San Diego, Orange and Riverside counties, we work to advance community health and hope by providing access to premier health services. We are looking for dedicated, motivated, enthusiastic team players who want to make a difference in the community. Our competitive compensation and benefits program includes health, dental, vision, company-paid life, flexible spending accounts and a 403(B) plan, for eligible employees. VCC is an equal opportunity employer.ResponsibilitiesAccurately review, interpret, audit, code and analyze medical records for diagnosis accuracy, clear documentation, and Hierarchical Coding Condition (HCC) abstraction according to ICD-10 CM coding guidelines and risk adjustment model regulations. Coordinate and collaborate with operational and clinical leadership to assist in identification of clinical best practices. Implement process improvements related to coding to appropriately document and capture risk burden of patients. Responsible for daily coding and auditing and providing guidance for other staff in the coding process.Perform PACE coding and auditing, working with clinicians on documentation and work flows as neededReview and accurately code medical records and encounters for diagnoses and procedures related to Risk Adjustment and HCC coding guidelinesEnsure coding is consistent with ICD-10-CM, CMS-HCC, and other relevant coding guidelinesValidate and ensure the completeness, accuracy and integrity of coded dataIdentify and resolve coding discrepancies or discrepancies between clinical documentation and diagnosis codingCollaborate with healthcare providers, physicians and other team members to clarify documentation and resolve coding queriesParticipate in coding education and training programs to enhance coding skills and knowledgePrepare and submit reports related to coding activities, coding accuracy, and any coding-related issues or trendsAssist in internal and external coding audits to ensure the quality and compliance of coding practicesReview documentation of every Annual Health Assessment in the Medical Record and Medical Diagnosis Report (MDX) to ensure accurate codes and documentation are applied to the encounter for billingUtilize available encoder, software and other coding resources to determine the appropriate ICD-10-CM diagnosis codes mapped to HCCsQualificationsMinimum QualificationsHigh school graduate or equivalentAAPC Coding certificationMinimum three years’ medical billing experienceMinimum two years’ medical coding experience Preferred QualificationsTwo years’ experience in an FQHC environmentExperience with NextGenExperience in coding compliance program implementationPay Range$27.00 - $32.00 per hour DOEPI251830684 Apply