Job Information
Emanate Health HCC Coding Specialist - Exempt - Full Time - Days - 8hr Covina in Covina, California
Current Emanate Health Employees - Please log into your Workday account to apply
Everyone at Emanate Health plays a vital role in the care we deliver. No matter what department you belong to, the work you do at Emanate Health affects lives. When you join Emanate Health, you become part of a team that works together to strengthen our communities and grow as individuals.
On Glassdoor's list of "Best Places to Work" in 2021, Emanate Health was named the #1 ranked health care system in the United States, and the #19 ranked company in the country.
J ob Summary
Responsible for the oversight of HCC Program and STAR measures coding related functions. The HCC coding specialist will work with the IPA Director, Health Plan, and MSO personnel on HCC and STAR measures related tasks. Responsible to ensure the IPA risk adjustment factor maintains or exceeds 1.0 and achieves or improves upon 4.0 STAR rating. The HCC coding specialist is responsible for education to external physician offices and works closely with physicians and billers to ensure the appropriate ICD10 and CPT codes submitted for Medicare and Covered CA lines of business. HCC Coding specialist will be responsible to review medical records and claims data to ensure external physicians are documenting correctly and submitting the correct ICD-10/CPT codes. Responsible for summaries and presenting information in a professional and effective manner. Assigns diagnostic/procedural codes to in- patient and outpatient medical records. Ensures that all accounts are coded accurately and timely. Follows-up on un-coded accounts. Researches and helps resolve problem accounts.
Job Requirements
a.Minimum Education Requirement :
Associate degree preferred; college degree preferred with coursework in Medical Terminology, Anatomy & Physiology and Computer experience.
b.Minimum Experience Requirement :
Must have at least one year of experience in Medicare HCC program within IPA, HMO, or clinic setting. Two to five years of coding experience using ICD-9, ICD-10 and CPT coding systems. Excellent customer service skills required.
c.Minimum License Requirement :
CMC, CCS, CPC, or COC required.
Delivering world-class health care one patient at a time.
Pay Range:
$32.00 - $44.89
We are more than just a health system. At Emanate Health, we are a catalyst for change and a beacon for healthier lives.
When you come to any one of our locations (https://www.emanatehealth.org/locations/) , you'll be treated like family. And as part of our family, you can rest easy knowing we'll do whatever it takes to benefit your health and wellness.
Our mission
Emanate Health exists to help people keep well in body, mind and spirit by providing quality health care services in a safe, compassionate environment.
Our vision
We are an integral partner in elevating our communities' health.
Our values
Patients and their families are the reason we are here. We want them to experience excellence in all we do through the quality of our services, our teamwork, and our commitment to a caring, safe and compassionate environment.
Respect. We affirm the rights, dignity, individuality and worth of each person we serve and of each other.
Excellence. We maintain an unrelenting drive for excellence, quality and safety, and strive to continually improve all that we do.
Compassion. We care for each person and each team member as part of our family.
Integrity. We believe in fairness and honesty and are guided by our code of ethics.
Stewardship. We wisely care for the human, physical and financial resources entrusted to us.
Emanate Health is an Equal Opportunity Employer and does not unlawfully discriminate in employment. No question on this application is used for the purpose of limiting or excluding any applicant from consideration for employment on a basis prohibited by local, state, or federal law. Equal access to employment, services, and programs is available to all persons. Those applicants requiring reasonable accommodation to the application and/or interview process should notify the Human Resources Department by calling 626-858-8515.