Risk Adjustment Coder – Remote

Welcome to Allscripts! Our Mission is to be the most trusted provider of innovative solutions that empower all stakeholders across the healthcare continuum to deliver world– class outcomes. Our Vision is a Connected Community of Health that spans continents and borders. With the largest community of clients in healthcare, Allscripts is able to deliver an integrated platform of clinical, financial, connectivity and information solutions to facilitate enhanced collaboration and exchange of critical patient information.

This is a Remote Role

Overview

About Pulse8, Inc.

Pulse8 is an innovative Healthcare Analytics and Technology Company that delivers visibility and transparency for Risk Adjustment and Quality Management programs. We enable health plans and at– risk providers to achieve the greatest financial impact in the Health Insurance Exchange (HIX), Medicare Advantage, and Medicaid markets. By combining advanced analytic methodologies with extensive health plan experience, Pulse8 has developed a suite of uniquely pragmatic solutions that are revolutionizing risk adjustment. Pulse8’s flexible business intelligence tools offer real– time visibility into member and provider activities so our clients can apply the most cost– effective and appropriate interventions for closing gaps in documentation, coding, and quality.

What’s cool about working for Pulse8?

We’re a close– knit team of Healthcare and Technology experts dedicated to helping people live longer, healthier lives. You’ll get to help us design and build innovative solutions from the ground up and have the opportunity to do lots of interesting things in an entrepreneurial culture. We offer competitive benefits and much, much more!

Position Description

Assigns numeric diagnostic codes in medical records for symptoms, diseases, operations and treatment. The coding is used in clinical decision making and insurance and Medicare/Medicaid reimbursement

Responsibilities

• Accurately validate and abstract diagnosis codes from provider documentation in medical
• Analyzes and translate medical and clinical diagnoses, procedures, injuries, or illnesses into designated numerical codes, adhering to the CMS Risk Adjustment Models.
• Follows state and federal regulations as well as internal policies and guidelines while analyzing coding information and medical records.
• Knowledgeable of medical and clinical terminology, disease processes, and pharmacology.
• Complete assignments according to established guidelines and schedules.
• Mid– level support role.
• Completes routine tasks under moderate supervision

Qualifications

Academic and professional qualifications:

• AAPC or AHIMA Certification Required (CPC, CRC, CCS)
• Certified Risk Adjustment Coder (CRC) preferred

Experience

• Minimum 1– year coding experience
• Medicare Risk Adjustment Experience
• ICD– 10– CM proficient

Travel Requirements

• All Pulse 8 employees attend two company summits per year in various locations.

Working Arrangements

• Monday through Friday or as defined by assignment requirements
• This is a remote/virtual position

Pulse8 is a stand– alone brand, fully owned by Allscripts, with its own C– level and senior leadership. When you work for Pulse8, you get the advantages and benefits of working with a large, public company with the innovative culture and direction and of a small, nimble company.

Must have received or be willing to receive the COVID– 19 vaccine by date of hire to be considered for employment with Allscripts.

Visa Sponsorship is not offered for this position.

At Allscripts, our greatest strength comes from bringing together talented people with diverse perspectives to support the technology needs of 180,000 physicians, 1,500 hospitals and 10,000 postacute organizations across the globe. Allscripts offers a comprehensive compensation and benefits package, including holidays, vacation, medical, dental, and vision insurance, company paid life insurance and retirement savings.

Allscripts’ policy is to provide equal employment opportunity and affirmative action in all of its employment practices without regard to race, color, religion, sex, national origin, ancestry, marital status, protected veteran status, age, individuals with disabilities, sexual orientation or gender identity or expression or any other legally protected category. Applicants for North American based positions with Allscripts must be legally authorized to work in the United States or Canada. Verification of employment eligibility will be required as a condition of hire. Allscripts is proud to be an equal opportunity workplace dedicated to pursing and hiring a diverse and inclusive workforce.

From a “VEVRAA Federal Contractor” We request Priority Referral of Protected Veterans

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