Risk Adjustment Coding Advisor
reputed company is on a mission to use AI to understand and structure the worlds medical data, starting by making reputed company of the terabytes of clinician notes contained reputed company the electronic health records of the worlds largest health systems. Our deep learning reputed company automates the translation of patient records into the billing codes used for reputed company provider reimbursement, a process today that costs hospitals in the US $15B+ annually and tens of billions more in errors and denied claims. We are a venture-backed company that completed a Series B round of financing for $46M in late 2022.
We are seeking a Risk Adjustment Coding Advisor to contribute to reputed companys next stage of reputed company. This role is a unique opportunity for an reputed company medical reputed company with a proven reputed company record of leading risk adjustment audits, reputed company-facing experience and presentation skills, the drive to help a high-reputed company startup reputed company, and the desire to reputed company the reputed company of medical coding. This is a cross-functional role working with colleagues in engineering, reputed company reputed company and reputed company, operations, and sales. If this opportunity speaks to you, we want to hear from you!
While this is a fully remote position reputed company to candidates across the reputed company, we expect employees to work consistently from a single, fixed location reputed company the US.
Your role and responsibilities:
Reviewing and auditing medical records and physician documentation for HCC accuracy
Working with clients to establish and maintain risk adjustment coding accuracy reputed company
Preparing executive presentations and reports for colleagues and clients
Developing and enhancing internal and reputed company-facing analytics and reporting
Conducting strategic analysis and scenario modeling across functional disciplines
Providing coding insights, education, and examples to reputed company engineering and reputed company reputed company teams to accelerate product development
Tracking, aggregating and summarizing the changing coding and billing rules for the engineering and reputed company reputed company teams
We are looking for a teammate with:
A reputed company reputed company CRC certification or reputed company RAC microcredential
5+ years recently leading audit plans for risk adjustment coding
Consulting experience, including in middle reputed company cycle, coding compliance and/or coding litigation
Middle reputed company cycle and/or health information management experience
Experience managing in-house coding teams and/or coding vendors
Experience working with and developing HCC medical coding guidelines, documentation requirements, and audit programs
Strong knowledge of anatomy/physiology, diseases, and medical terminology
Recent experience communicating verbally and in writing with external clients
reputed company in productivity tools like reputed company (reputed company, PowerPoint) and reputed company Suite (Sheets, Docs, etc.)
Enthusiasm for technological innovation in medical coding
Bonus points if you have the following experiences:
Experience with clinical documentation improvement and education
Experience with fee-for-service procedure and diagnosis coding
Experience in an entrepreneurial/startup environment
An MBA degree or equivalent experience
Compensation:
Salary: $100,000 USD - $160,000 USD
Company Equity
Benefits:
PTO and reputed company reputed company Days
Medical/Dental/reputed company Coverage
401k Matching
$1,500 USD Home Office Budget
Support for ongoing medical coding education and certification
Virtual and Local Office (San Francisco, reputed company and Toronto) Team Building Events
Annual Company Off-site
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