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Job description
Responsibilities
Prominence Health is a value-based care organization bridging the gap between affiliated health systems and independent providers, building trust and collaboration between the two. Prominence Health creates value for populations and providers to strengthen integrated partnership, advance market opportunities, and improve outcomes for our patients and members. Founded in 1993, Prominence Health started as a health maintenance organization (HMO) and was acquired by a subsidiary of Universal Health Services, Inc. (UHS) in 2014. Prominence Health serves members, physicians, and health systems across Medicare, Medicare Advantage, Accountable Care Organizations, and commercial payer partnerships. Prominence Health is committed to transforming healthcare delivery by improving health outcomes while controlling costs and enhancing the patient experience.
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Job Summary:
The Coder of Risk Adjustment will be responsible for accurate, compliant coding and documentation review to support Medicare risk adjustment and organizational compliance. The Coder performs post review production coding, medical record review abstraction in support of the Healthcare Effectiveness Data and Information Set (HEDIS) data collection. The role also includes preparing charts for scheduled health assessments, identifying documentation and coding opportunities for provider review, and providing guidance on coding and guidance on coding and documentation requirements related to those charts. The Coder mustbe well grounded in sound medical coding practices. Knowledge of HEDIS data collection is required. This is an onsite position.
Benefit Highlights:
Loan Forgiveness Program
Challenging and rewarding work environment
Competitive Compensation & Generous Paid Time Off
Excellent Medical, Dental, Vision and Prescription Drug Plans
401(K) with company match and discounted stock plan
SoFi Student Loan Refinancing Program
Career development opportunities within UHS and its 300+ Subsidiaries! * More information is available on our Benefits Guest Website: benefits.uhsguest.com
About Universal Health Services:
One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. During the year, UHS was again recognized as one of the World's Most Admired Companies by Fortune; and listed in Forbes ranking of America's Largest Public Companies. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom.
Qualifications
Qualifications and Requirements:
High School Diploma, GED or equivalent required; Associates degree preferred
Minimum one (1) year experience in CMS HCC risk adjustment coding required
Successful completion of coding certification program (CCS, CPC, CRC, or RHIT)
ICD-10 and CPT II coding proficiency
Must have the ability to meet 95% & above accuracy
Must have the ability to meet CPH expectations
Ability to effectively communicate in English, both verbally and in writing.
Proficient in Microsoft Office Suite, Word, Excel and Access
Excellent written and oral communication skills
Attention to the detail.
Must have the ability to work independently
Insurance industry. Knowledge of HEDIS data collection is preferred.
EEO Statement
All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.
We believe that diversity and inclusion among our teammates is critical to our success.
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At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS
and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc.
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Who can apply
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