What are the responsibilities and job description for the Hierarchical Condition Categories (HCC) Coder position at Bon Secours?
Primary Function/General Purpose of Position
The HCC Coder provides extensive knowledge of documentation and review to support Bon Secours Mercy Health’s Risk Score Accuracy (RSA) initiative and the Hierarchical Condition Categories (HCC) coding program. The position performs prospective, concurrent, and retrospective chart reviews for ICD-10-CM and CPT Category II coding accuracy and compliant supportive documentation. This role is vital in providing subject matter expertise of Population Health RSA programs to ensure value-based contract success.
Essential Job Functions
- Reviews ambulatory encounters in the electronic medical record for accuracy and appropriateness of provider documentation and ICD-10-CM and CPT Category II coding, to ensure compliance with state and federal guidelines.
- Assists HCC Coding Supervisor and System Director of Risk Score Accuracy with special projects involving chart reviews. Identifies and escalates examples of trends related to documentation challenges involving electronic health record/software/information technology processes.
- Works with RSA Coding Supervisor to communicate provider coding accuracy concerns and challenges to System and Local Market leadership.
- Maintains competency and accuracy while remaining abreast of current requirements of the Center for Medicare and Medicaid Services (CMS) and ICD-10-CM guidelines.
- Participates as needed in collaborative coding education forums with other teams throughout Bon Secours Mercy Health. Maintains knowledge of current professional coding certification requirements and promotes recruitment and retention of certified staff in coding positions within the health system.
This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Employees may be required to perform other job-related duties as required by their supervisor, subject to reasonable accommodation.
Licensing/Certification
CPC-A or equivalent (required)
CPC or CRC (preferred)
Education
High School Diploma or GED (required)
Associates Degree in Health Information Management (preferred)
Work Experience
1 year of ICD-10-CM coding experience (required)
Two or more years of ICD-10-CM coding experience (preferred)
Working Conditions
Periods of high stress and fluctuating workloads may occur.
General office environment.
Skills
ICD-10-CM
CPT Category II
Coding conventions and guidelines
Medical record content
Electronic medical records (EMRs)
Independent,
Teamwork
Keyboarding
Computer skills
Coding software
Communication skills
Willingness to learn
Medicare
Medicaid
Information technology
Population health
Documentation
Medical coding
EPIC
Collaboration
Many of our opportunities reward* your hard work with:Comprehensive, affordable medical, dental and vision plans
Prescription drug coverage
Flexible spending accounts
Life insurance w/AD&D
Employer contributions to retirement savings plan when eligible
Paid time off
Educational Assistance
And much more
*Benefits offerings vary according to employment status
All applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. If you'd like to view a copy of the affirmative action plan or policy statement for Mercy Health – Youngstown, Ohio or Bon Secours – Franklin, Virginia; Petersburg, Virginia; and Emporia, Virginia, which are Affirmative Action and Equal Opportunity Employers, please email recruitment@mercy.com. If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The Talent Acquisition Team at recruitment@mercy.com
