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Associate, Risk Adjustment Coder

Company: MVP Health Care
Location: Schenectady
Posted on: May 28, 2023

Job Description:

Over 35 years strong and fueled by 1,700 smart, passionate employees across New York state and Vermont, MVP is full of opportunities to grow. We are a nationally recognized, award-winning leader for a reason. The beating heart of our company is a wide range ofemployees from a diverse set of backgrounds-tech people, numbers people, even people people-working together to make health insurance better. If you areready to join a thriving, mission-driven company where you can create your own opportunities and make a positive difference-it's time to make a healthy career move to MVP!
Full-time, Non-Exempt
Identifies, collects, assesses, monitors and documents claim and encounter coding information as it pertains to CMS Hierarchical Condition Categories (HCC). Actively participates in and supports the Medicare Risk Adjustment team-based environment to educate providers on coding compliance and consistency. Works with the Coding Leader of Medicare Risk Adjustment to ensure coding compliance and appropriate reimbursement from CMS. Performs other duties as assigned.
Minimum Education:
High School Diploma or GED Coding education including understanding of proper guidelines and usage of ICD-9-CM, CPT and HCPCS RHIT - Registered Health Information Technologist or CPC-P - Certified Professional Coder (Physician) or CCS-P - Certified Coding Specialist (Physician) , and CRC-Certified Risk Adjustment Coding Credential required.
Minimum Experience:
1 year experience of physician billing or coding.
Required Skills:

  • Strong analytical skills.
  • Ability to problem solve.
  • Detail oriented with high degree of accuracy.
  • Ability to exercise discretion in handling confidential member information.
  • Strong commitment to customer service and understanding and responding to customer needs within specific timeframes.
  • Valid NYS driver's license and access to a reliable vehicle.
  • Proficiency with Microsoft Word, Excel and PowerPoint or comparable software required. Proficiency with FACETS required within six months from date of hire. About MVP
    MVP Health Care is a nationally recognized, not-for-profit health insurer caring for more than 700,000 members in New York and Vermont. Committed to the complete well-being of our members and the communities we serve, MVP makes health insurance more convenient, more supportive, and more personal. We are powered by the ideas and energy of more than 1,700 diverse, employees from all backgrounds, committed to having a positive impact on the health and wellness of everyone we serve. MVP Health Care is an Affirmative Action/ Equal Employment Opportunity (PDF). We recruit, employ, train, compensate, and promote without regard to race, religion, creed, color, national origin, age, gender, sexual orientation, marital status, disability, genetic information, veteran status, or any other basis, e.g., Pay Transparency (PDF), and the Know your Rights protected by applicable federal, state or local law. Any person with a disability needing special accommodations to the application process, please contact Human Resources at
    Please apply and learn more - including how you may become a proud member of our team.
    Other details
    • Job Family Medical Management/Clinical
    • Pay Type Hourly
      Apply Now

Keywords: MVP Health Care, Schenectady , Associate, Risk Adjustment Coder, Other , Schenectady, New York

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