For more than 30 years, CDPHP has been providing outstanding health care coverage in the Capital Region of New York and beyond. Based in Albany, NY, the physician-guided not-for-profit offers plans in 24 counties. CDPHP cares deeply about the health and well-being of its members as well as its employees. The company values integrity, diversity, and innovation, and its corporate culture supports those values wholeheartedly. At CDPHP, the employees have a voice and are encouraged to make an impact at both the company and community levels through engagement and volunteer opportunities. CDPHP invests in employees who share these values and invites you to be a part of that experience.
The Risk Adjustment Coder will be responsible for the chart review and ICD-10 diagnosis coding of risk adjustment eligible members. This position will have responsibility for review of medical records to identify accurate ICD-10 diagnosis codes and provide feedback to Coding Specialists with provider offices. This is a full time, remote (work from home) position that requires 40 hours per week (Monday-Friday with a shift between the hours of 7am-5pm EST). The Risk Adjustment Coder must be able to commute and attend onsite meetings and trainings at CDPHP headquarters in Albany, NY as needed or requested. This includes a one week long training session upon hire.
High school diploma or GED required. Associates degree preferred.
Active CCS (Certified Coding Specialist), CCS-P (Certified Coding Specialist- Physician-based), or CPC (Certified Coding Professional) required.
Additional CRC (Certified Risk Adjustment Coder) preferred.
Strong knowledge of medical terminology, anatomy and physiology, and medical chart review required. Hierarchical Condition Category (HCC) knowledge preferred.
Minimum of one (1) year experience working as a medical coder, with coding as a primary responsibility and including adherence to quality and productivity goals required.
Working knowledge of HIPAA requirements, recognizing commitment to privacy, security, and the confidentiality of all medical chart and patient health information.
As an Equal Opportunity / Affirmative Action Employer, CDPHP will not discriminate in its employment practices due to an applicants race, color, creed, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity or expression, transgender status, age, national origin, marital status, citizenship, physical and mental disability, criminal record, genetic information, predisposition or carrier status, status with respect to receiving public assistance, domestic violence victim status, a disabled, special, recently separated, active duty wartime, campaign badge, Armed Forces service medal veteran, or any other characteristics protected under applicable law.