You are applying for a position through Medix, a staffing agency. The actual posting represents a position at one of our clients.
Job Summary
Our client is seeking a Risk Adjustment Coder responsible for ensuring compliance with applicable laws and regulations related to coding and documentation. The primary goal is to conduct risk adjustment reviews, assess medical records, provide feedback on documentation standards, and improve individual member risk adjustment score accuracy.
Key Responsibilities
- Ensure compliance with Federal, State, and County laws related to coding and documentation guidelines for Risk Adjustment Reviews.
- Verify that diagnosis codes are supported by documentation according to ICD-10-CM Guidelines.
- Capture the correct diagnosis codes for chronic or major medical conditions.
- Query unsubstantiated diagnosis codes and review clinical indicators for accuracy.
- Conduct medical chart reviews to identify improvement opportunities for risk adjustment score accuracy.
- Provide feedback on documentation and physician coding standards to internal clients.
- Identify clinical coding trends and training needs to enhance documentation quality.
- Attend all required meetings.
Benefits
- Paid Sick Leave (Medix provides paid sick leave according to state and local sick leave ordinances).
- Health Benefits / Dental / Vision (Medix offers 6 different health plans: 3 Major Medical Plans, 2 Fixed Indemnity Plans (Standard and Preferred), and 1 Minimum Essential Coverage (MEC) Plan. Eligibility for health benefits is based on verifying that an average of 30 hours per week during the first 4 weeks of the work assignment has been met. If you meet eligibility requirements and take action to enroll, you will be covered no earlier than 60 days into your assignment, depending on plan selection(s)).
- 401k (Eligible on the first 401k open enrollment date following 6 consecutive months on assignment. 401k Open Enrollment dates are 1/1, 4/1, 7/1, and 10/1).
- Short Term Disability Insurance.
- Term Life Insurance Plan.
Required Employment / Compliance Language
- This employment opportunity is provided by Medix Staffing Solutions, Inc. Clients may require candidates to pass drug screening and/or background checks prior to employment and may present additional employment requirements which are understood to be acceptable by applicant.
*We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state, and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO), and the California Fair Chance Act (CFCA).
Medix Overview:
With over 20 years of experience connecting organizations with highly qualified professionals, Medix is a leading provider of workforce solutions for clients and candidates across the healthcare, scientific, technology, and government industries. Through our core purpose of positively impacting lives, we’re dedicated to creating opportunities for job seekers at some of the nation's top companies. As an award-winning career partner, Medix is committed to helping talent find fulfilling and meaningful work because our mission is to help you achieve yours.
*As a job position within our Revenue Cycle division, a successful completion of a background check may be required as a condition of employment. This requirement is directly related to essential job functions including but not limited to: accessing financial and confidential information, handling financial and other payment data, and working within departments that care for vulnerable populations, such as, minors, elderly and those with physical or mental disabilities. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.
