High Value Care Coding Specialist - Remote

Building Name: UVMMC - Out of State Remote Worker Location Address: 111 Colchester Ave., Burlington Vermont Regular Department: PHSO-Risk Adjustment & Quality Programs Full Time Standard Hours: 40 Biweekly Scheduled Hours: 80 Shift: Day-8Hr Primary Shift: 8:00 AM - 4:30 PM Weekend Needs: None Salary Range: Min $24.10 Mid $31.04 Max $37.98 Recruiter: Kate Davies The Population Health Services Organization (PHSO) at UVM Health Network is hiring for a High Value Care (HVC) Coding Specialist! Position Insights: The position is remote eligible, and the employee can work in state or out of state. All computer equipment is provided to the employee. Applicant must have a private and secure workspace with high-speed broadband internet. Candidates will be required to work Eastern Standard Time hours. WHO WE ARE: The UVMHN (University of Vermont Health Network) PHSO (Population Health Services Organization) is a physician and payer partnered operation that provides the right constellation of services (e.g. care management and care coordination, data and analytics, provider reporting, Quality, Risk Adjustment, and Value-based Contract Performance, etc.), that enables the health network to successfully perform in High Value Care and Value-Based Contracts. JOB SUMMARY: The HVC Coding Specialist determines the appropriate ICD-10-CM diagnosis codes based on clinical documentation that follows the Official Guidelines for Coding and Reporting and Risk Adjustment guidelines. The HVC Coding Specialist reviews retrospective medical record documentation and ensures that the codes are appropriately assigned. The outcome will be documentation that accurately and completely captures the clinical picture/severity of illness/complexity of the patient while providing specific and complete information. The HVC Coding Specialist utilizes standards of compliance, specifically in outpatient compliant query processes and clinical knowledge, to identify opportunities and achieve results. This includes selecting the most specific ICD-10-CM code based on the provider documentation. Maintains accurate records of review activities to comply with departmental and regulatory agency guidelines, Understands and complies with policies and procedures related to confidentiality of medical records. Identifies opportunities for intradepartmental and interdepartmental operational improvement. Participates in program related meetings, education, staff development, departmental activities, and in-service opportunities. EDUCATION: High school diploma or equivalent required, college degree preferred. Anatomy and physiology and/or medical terminology required. An equivalent combination of education and experience may be considered. CPC certification by AAPC is required. CRC certification by AAPC will be required within 2 years, 1 year preferred. EXPERIENCE: 1+ years’ experience with data entry, CPT and ICD coding, health information management, and/or medical terminology required. Familiarity with Federal medical billing statutes is required. Familiarity with risk adjustment coding is preferred. Must be able to demonstrate mastery of coding through chart review. Must maintain CPC Certification and CEUs. Lapse of certification status may result in separation of employment. Recertification is at expense of employee. WHY UVM HEALTH NETWORK (UVMHN)? As a team, The University of Vermont Health Network improves the lives of our patients by delivering outstanding care cost-effectively, as close to patient's homes as possible. Working together to better serve our communities makes us stronger, focused on collaboration instead of competition. BENEFITS: At UVMHN, we support our employees as passionately as we care for our patients. We offer a comprehensive, total compensation package that includes salary, health and wellness benefits, paid time off, and more. https://www.uvmhealth.org/medcenter/health-careers/benefits LEARN MORE: What is it like working here? https://www.uvmhealthnetworkcareers.org/diversity-equity-inclusion.html Find more information about the University of Vermont Health Network here: https://www.uvmhealth.org/about-uvm-health-network This is a bargaining union position.