Conduct prospective and retrospective chart reviews to abstract and validate Hierarchical Condition Category (HCC) codes for calendar year reporting. Collaborate with providers through Epic and in person to identify outstanding HCC capture opportunities and ensure documentation supports accurate payor submission.
This role supports Prisma Health's value-based care and network services efforts by improving risk adjustment coding accuracy and documentation quality.
Requirements & Qualifications
- High school diploma or equivalent required; associate degree preferred
- 5 years of professional fee coding experience
- Current Certified Professional Coder (CPC) certification
- Current Certified Risk Adjustment Coder (CRC) certification
- Knowledge of office equipment such as fax/copier
- Proficient computer skills, including word processing, spreadsheets, and databases
- Strong data entry and mathematical skills
Location
South Carolina, US
Employment Type
Full-time
Experience Level
Intermediate Level
Remote work allowed
Yes
Posted
1 month ago