As a member of the Covenant HealthCare Partners team, this role supports accurate risk adjustment coding and documentation across provider practices. The position focuses on reviewing patient charts, performance metrics, and reports to identify opportunities for improved documentation, coding accuracy, and HCC performance.
The specialist works closely with the HCC Coding Auditor Educator and other clinical and administrative staff to support provider education, strengthen coding specificity, and help capture the appropriate risk for the patient population. This position also contributes to analytics, process improvement, presentation development, and compliance-related activities.
Education and Experience
- Associate degree required; bachelor's degree preferred
- Professional coding certification such as CPC or CRC required
- Two years of ICD-9/10-CM and CPT-4 coding experience may substitute for the CPC requirement, with certification completed within 12 months of hire
- Experience in a professional coding or physician office setting preferred
Knowledge and Skills
- Familiarity with electronic health records, preferably Epic, Intelicode, Systoc, or AAPC-related tools
- Knowledge of medical terminology and anatomy
- Understanding of third-party payer coding and billing reimbursement
- Knowledge of ICD-9/10-CM, CPT-4, and HCPCS coding guidelines
- Strong analytical, problem-solving, and change management skills
- Ability to build relationships with physicians, nurses, and clinical staff
- Excellent communication and interpersonal skills
- Proficiency with Microsoft Office
- Ability to travel to physician offices within the CHP network
- Ability to maintain confidentiality and comply with HIPAA standards
Benefits
- Comprehensive medical, dental, and vision coverage
- Retirement plans with employer match
- Paid time off for work-life balance
- Employee wellness programs and mental health support
- Tuition reimbursement, university discounts, and professional development opportunities
Location
Michigan, US
Employment Type
Full-time
Experience Level
Intermediate Level
Remote work allowed
No
Posted
3 weeks ago