REQUIRED

1. Certified Professional Coder (CPC) or Certified Risk Adjustment Coder (CRC) credential.
2. Three (3) year experience in ambulatory care setting, responsible for ICD-10-CM and CPT coding.
3. In-depth knowledge of risk adjustment coding methodologies, including HCC (Hierarchical Condition Category) coding.
4. Strong understanding of value-based care models, population health management, and quality improvement methodologies.

PREFERRED

1. Bachelor’s degree in health sciences, public health, healthcare administration or related field
2. One (1) year experience in coding quality auditing.
3. Two (2) years of relevant experience in value-based care / quality improvement role
4. Analytical skills necessary to analyze and interpret routine data.
5. Experienced user of clinical information systems (i.e. electronic health record, practice management systems, disease registries, clinical analytic systems)
6. Ability to work collaboratively with physicians and healthcare administrators
7. Ability to work independently with under general direction
8. Skill in oral and written communication