Overview of Position
This quality reviewer position is specific to an HCC Quality Reviewer with the primary focus on performance of HCC post-visit, pre-bill documentation reviews to ensure all appropriate HCC diagnosis coded are reported on claims in accordance with ICD-10-CM guidelines and MEAT (Monitored, Evaluated, Addressed and Treated) criteria. This position will also be proactively looking for additional HCC diagnosis codes documented that can be captured and reported. The HCC Quality Reviewer position will work in collaboration with providers as well as Population Health on feedback and education.
The following qualifications must be met to qualify for consideration of this position.
ü AHIMA or AAPC certified (i.e., CCS-P, CPC, CRC, etc)
ü A minimum of 3 years coding and/or auditing experience
ü Expert level knowledge and application in ICD-10-CM diagnosis coding and guidelines
ü A good working knowledge of HCCs in general
ü Strong communication skills and experience working with providers
The following are not required qualifications, but preferred.
ü CRC certified through AAPC, and if not currently, willing to obtain credential in the first 6 months to a year of employment
ü 5+ years coding and/or auditing experience
ü Expert working knowledge or previous experience in an HCC or risk adjustment coding role.
ü Competent to strong Microsoft Application skills, specifically, Word, Excel and PP.
HCC Coding Assessment
Qualified applicants will be required to take and pass an HCC Coding Assessment prior to the interview phase.
Safeguarding our patients and each other is an important part of how we deliver the best care possible to the communities we serve. As a condition of employment, IU Health requires all new hires to receive various vaccinations, including the influenza and COVID-19 vaccines, barring an approved exemption. New hires will also be provided the option to submit proof of previous vaccination. The COVID-19 vaccine is not required to begin employment; however, all team members need to be fully vaccinated by September 1, 2021.
We are an equal opportunity employer and value diversity and inclusion at IU Health. IU Health does not discriminate on the basis of race, color, religion, sex, sexual orientation, age, disability, genetic information, veteran status, national origin, gender identity and/or expression, marital status or any other characteristic protected by federal, state or local law. We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation.
Indiana University Health is Indiana’s most comprehensive health system, with 16 hospitals and more than 34,000 team members serving Hoosiers across the state. Our partnership with the Indiana University School of Medicine gives our team members access to the very latest science and the very best training, advancing care for all. We’re looking for team members who share the things that matter most to us. People who are inspired by challenging and meaningful work for the good of every patient. People who are compassionate and serve with a purpose. People who aspire to excellence every day. People who are always ready to apply themselves.