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.
Job Summary
Responsible for the oversight of HCC Program and STAR measures coding related functions. The 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 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. 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 Requirementsa.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:
$33.00 - $48.87Top Skills
What We Do
Emanate Health, www.emanatehealth.org, is the largest nonprofit health care provider serving the one million residents of the San Gabriel Valley in California. The system provides specialized care in Behavioral Health, Cancer, Cardiovascular, Emergency, Neuroscience and Stroke, Orthopedics, Sports Medicine, and Women’s Health. Its family includes Emanate Health Foothill Presbyterian in Glendora, Emanate Health Inter-Community in Covina, and Emanate Health Queen of the Valley in West Covina and Emanate Health Home Care in West Covina, as well as other clinics throughout the region. Year after year the health care system has been voted “Best Hospital” and “Best Place to Work” and our providers are consistently among the “Top Doctors” in Los Angeles County
