1+ months

Risk Adjustment/HCC Specialist

Weill Cornell Medical College
New York, NY 10007
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Position Summary

Serves as an internal expert on Risk Adjustment and Hierarchical Conditions Categories \(HCC\) coding\. Specific duties include performing concurrent and retrospective reviews of documentation and coding and working with providers and staff to ensure the accuracy and completeness of medical record documentation and coding\. Provides training, education and coaching to providers and staff regarding accurate and complete medical record documentation and coding in compliance with established documentation and coding standards\.

Job Responsibilities

+ Audits medical records to assure compliance with applicable coding and documentation standards\. Manages query process that is consistent with industry standards, to identify and react to inaccurate documentation or coding\.

+ Compiles data and determines priority areas for documentation and coding improvement activities\. Monitors and reports key performance indicators relative to clinical documentation and HCC coding\.

+ Documents and maintains records of all query, audit, and educational efforts\. Tracks and reports on the effectiveness of the clinical documentation improvement program through record keeping and results analysis\.

+ Maintains current competencies in clinical documentation improvement and ICD, CPT and HCC coding through continuing education\. Assists with compliance audits and other duties as needed\.

+ Promotes appropriate clinical documentation through extensive interaction with physicians, nursing staff, and other patient caregivers to ensure that the documentation of the patient's severity of illness and clinical complexity is complete and accurate\.

+ Serves as documentation and coding resource to practices and clients\. Works with leadership to develop, document, implement and monitor procedures that support organizational goals and objectives related to the documentation & coding improvement\.


+ Bachelor's Degree in related field


Approximately 3 years of experience in concurrent clinical documentation improvement relative to HCC coding in the ambulatory setting with one or more of the following credentials: Certified Risk Coder \(CRC\), Certified Professional Coder certification \(CPC\),Certified Professional Medical Auditor \(CPMA\) or Certified Clinical Documentation Specialist \(CCDS\) credential\(s\)

Knowledge, Skills and Abilities

+ Proven ability to effectively teach/coach healthcare providers regarding documentation standards and their role in document improvement in both group and one\-on\-one settings\.

+ Ability to manage multiple projects simultaneously and meet time line constraints/deadlines\.

+ Proficiency with Microsoft Word and PowerPoint; Intermediate or Advanced Excel skills\.

Licenses and Certifications

Working Conditions/Physical Demands

Weill Cornell Medicine is a comprehensive academic medical center that's committed to excellence in patient care, scientific discovery, and the education of future physicians in New York City and around the world\. Our doctors and scientists\-faculty from Weill Cornell Medical College, Weill Cornell Graduate School of Medical Sciences, and the Weill Cornell Physician Organization\-are engaged in world\-class clinical care and cutting\-edge research that connect patients to the latest treatment innovations and prevention strategies\. Located in the heart of the Upper East Side's scientific corridor, Weill Cornell Medicine's powerful network of collaborators extends to its parent university Cornell University; to Qatar, where an international campus offers a U\.S\. medical degree; and to programs in Tanzania, Haiti, Brazil, Austria and Turkey\. Our medical practices serve communities throughout New York City, and our faculty provide comprehensive care at NewYork\-Presbyterian Hospital/Weill Cornell Medical Center, NewYork\-Presbyterian/Lower Manhattan Hospital, and NewYork\-Presbyterian/Queens\. At Weill Cornell Medicine, we work together to treat each individual, not just their conditions or illnesses, as we strive to deliver the finest possible care for our patients \- the center of everything we do\. Weill Cornell Medicine is an Equal Employment Opportunity Employer\. Weill Cornell Medicine provides equal employment opportunities to all qualified applicants without regard to race, sex, sexual orientation, gender identity, national origin, color, age, religion, protected veteran or disability status, or genetic information\.
Posted: 2019-07-10 Expires: 2019-10-05

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Risk Adjustment/HCC Specialist

Weill Cornell Medical College
New York, NY 10007

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