HCC Coder

At Bon Secours Mercy Health, we are dedicated to continually improving health care quality, safety and cost effectiveness. Our hospitals, care sites and clinicians are recognized for clinical and operational excellence.

Primary Function/General Purpose of Position

The HCC Coder provides extensive knowledge of documentation and review to support Bon Secours Mercy Health's Risk Score Accuracy (RSA) initiative and the Hierarchical Condition Categories (HCC) coding program. The position performs prospective, concurrent, and retrospective chart reviews for ICD-10-CM and CPT Category II coding accuracy and compliant supportive documentation. This role is vital in providing subject matter expertise of Population Health RSA programs to ensure value-based contract success.

Essential Job Functions

• Reviews ambulatory encounters in the electronic medical record for accuracy and appropriateness of provider documentation and ICD-10-CM and CPT Category II coding, to ensure compliance with state and federal guidelines.

• Assists HCC Coding Supervisor and System Director of Risk Score Accuracy with special projects involving chart reviews. Identifies and escalates examples of trends related to documentation challenges involving electronic health record/software/information technology processes.

• Works with RSA Coding Supervisor to communicate provider coding accuracy concerns and challenges to System and Local Market leadership.

• Maintains competency and accuracy while remaining abreast of current requirements of the Center for Medicare and Medicaid Services (CMS) and ICD-10-CM guidelines.

• Participates as needed in collaborative coding education forums with other teams throughout Bon Secours Mercy Health. Maintains knowledge of current professional coding certification requirements and promotes recruitment and retention of certified staff in coding positions within the health system.

This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Employees may be required to perform other job-related duties as required by their supervisor, subject to reasonable accommodation.

Licensing/Certification

CPC-A or equivalent (required)

CPC or CRC (preferred)

Education

High School Diploma or GED (required)

Associates Degree in Health Information Management (preferred)

Work Experience

1 year of ICD-10-CM coding experience (required)

Two or more years of ICD-10-CM coding experience (preferred)

Working Conditions

Periods of high stress and fluctuating workloads may occur.

General office environment.

Skills

ICD-10-CM

CPT Category II

Coding conventions and guidelines

Medical record content

Electronic medical records (EMRs)

Independent,

Teamwork

Keyboarding

Computer skills

Coding software

Communication skills

Willingness to learn

Medicare

Medicaid

Information technology

Population health

Documentation

Medical coding

EPIC

Collaboration

Many of our opportunities reward* your hard work with:

Comprehensive, affordable medical, dental and vision plans

Prescription drug coverage

Flexible spending accounts

Life insurance w/AD&D

Employer contributions to retirement savings plan when eligible

Paid time off

Educational Assistance

And much more

*Benefits offerings vary according to employment status

All applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. If you'd like to view a copy of the affirmative action plan or policy statement for Mercy Health - Youngstown, Ohio or Bon Secours - Franklin, Virginia; Petersburg, Virginia; and Emporia, Virginia, which are Affirmative Action and Equal Opportunity Employers, please email ~~~ . If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The Talent Acquisition Team at ~~~