Coding Specialist

Coding Specialist

Location: Remote

How will this role have an impact?

As a Coding Specialist you will review and evaluate health assessments/evaluations to assign, edit and/or validate the appropriate ICD-10 codes that are clinically identified and supported in the assessment/evaluation on a timely basis. A Coding Specialist performs coding and/or code validation across multiple entities by applying all appropriate coding guidelines and criteria for code selections.

This role will report to our Senior Coding Manager!

Diversity and Inclusion are core values at Signify Health, and fostering a workplace culture reflective of that is critical to our continued success as an organization.

What will you do?

• Reviews health risk assessments/evaluations to determine completion and compliance with CMS guidelines on a timely basis.
• Reviews and assesses the accuracy, completeness, specificity and appropriateness of diagnosis codes identified in the health risk assessments/evaluations.
• Reviews health risk assessments/evaluations to accurately and completely assign all ICD-10 codes that are clinically identified and supported in the
• assessment/evaluation on a timely basis.
• Communicates timely and effectively with supervisor regarding issues with the health risk assessments/evaluations and/or corrections required to the health risk
• assessments/evaluations.
• Understanding the relationship between ICD-10 coding and HCC (hierarchical condition category) coding.
• Utilizes advanced, specialized knowledge of medical codes and coding protocol by providing guidance to the Sr. Coding Manager to ensure the organization is
• following Medicare coding protocol for payment of claims.
• Demonstrate a commitment to integrating coding compliance standard into coding practices. Identify, correct and report coding problems.
• Maintain adequate knowledge of coding, compliance and reimbursement procedures related top Medicare Risk Adjustment.
• Make recommendations for coding policy/changes.
• Maintain coding certification after achieving certification status.
• Complete special projects as assigned by management, which require defining problems, and implementing required changes.
• Responsible for the security and privacy of any and all protected health information that may be accessed during normal work activities.

We are looking for someone with:

• Must hold an active CPC, CPC-A, COC, CCS, CCS-P or CCA
• Current coding certification in good standing.
• CRC preferred
• ICD-10 Coding Certification will be required
• Minimum of 0-5 years of ICD-10 coding experience.
• Prior work experience in the healthcare field specifically related to coding is preferred.
• Experience and knowledge of Medicare HCC coding.
• Experience with medical record documentation.
• Prior medical chart auditing/quality experience preferred.
• Advanced knowledge of medical terminology, abbreviations, anatomy and physiology, major disease processes, and pharmacology

About Us:

Signify Health is helping build the healthcare system we all want to experience by transforming the home into the healthcare hub. We coordinate care holistically across individuals’ clinical, social, and behavioral needs so they can enjoy more healthy days at home. By building strong connections to primary care providers and community resources, we’re able to close critical care and social gaps, as well as manage risk for individuals who need help the most. This leads to better outcomes and a better experience for everyone involved.

Our high-performance networks are powered by more than 9,000 mobile doctors and nurses covering every county in the U.S., 3,500 healthcare providers and facilities in value-based arrangements, and hundreds of community-based organizations. Signify’s intelligent technology and decision-support services enable these resources to radically simplify care coordination for more than 1.5 million individuals each year while helping payers and providers more effectively implement value-based care programs.

We are committed to equal employment opportunities for employees and job applicants in compliance with applicable law and to an environment where employees are valued for their differences.

To learn more about how we’re driving outcomes and making healthcare work better, please visit us at www.signifyhealth.com.

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