Imagine a career at one of the nation's most advanced health networks.
Be part of an exceptional health care experience. Join the inspired, passionate team at Lehigh Valley Health Network, a nationally recognized, forward-thinking organization offering plenty of opportunity to do great work.
LVHN has been ranked among the "Best Hospitals" by U.S. News & World Report for 23 consecutive years. We're a Magnet(tm) Hospital, having been honored five times with the American Nurses Credentialing Center's prestigious distinction for nursing excellence and quality patient outcomes in our Lehigh Valley region. Finally, Lehigh Valley Hospital - Cedar Crest, Lehigh Valley Hospital - Muhlenberg, Lehigh Valley Hospital- Hazleton, and Lehigh Valley Hospital - Pocono each received an 'A' grade on the Hospital Safety Grade from The Leapfrog Group in 2020, the highest grade in patient safety. These recognitions highlight LVHN's commitment to teamwork, compassion, and technology with an unrelenting focus on delivering the best health care possible every day.
Whether you're considering your next career move or your first, you should consider Lehigh Valley Health Network.
SummaryPartners with providers and administrative staff to support LVHN Risk Adjustment initiatives. Leverages technology to convey diagnostic coding opportunities and compliance concepts to clinicians. Educates staff and providers on diagnostic documentation principles and assists in communicating program metrics through dashboards and various reports.
Job Duties
- Reviews EHR and claim data in an effort to prepare provider with this information for upcoming patient visits. Provides clinician with potential opportunities and/or suggestions for the provider's consideration at the time of patient visit.
- Leverages knowledge of CMS and HHS HCC models and artificial intelligence (AI) technology to prepare recommendations for upcoming visits.
- Maintains current knowledge of industry HCC guidelines, coding compliance, and best practices.
- Assists in the development of content for one-on-one and group education to clinicians and other healthcare colleagues.
Minimum Qualifications- Associate’s Degree in a Healthcare related field or
- High School Diploma/GED
- 2 years Acute care coding or CDI experience.
- Demonstrates thorough understanding of risk adjustment methodology (CMS and HHS).
- Demonstrates strong knowledge of disease processes and pathophysiology.
- Knowledge of EMR, Windows, and MS Office applications (Word/Excel/Access).
- Strong analytical and investigative skills.
- CCA - Certified Coding Associate AHIMA - State of Pennsylvania Upon Hire
- CRC - Certified Risk Adjustment Coder - State of Pennsylvania within 1 Year
- CCS - Certified Coding Specialist AHIMA - State of Pennsylvania
- CCS-P - Certified Coding Specialist-Physician Based AHIMA - State of Pennsylvania
- CPC - Certified Professional Coder - State of Pennsylvania
- CPC-H-Certified Professional Coder-Hospital AAPC - State of Pennsylvania
Physical DemandsLift and carry 7 lbs., continuous sitting >67%, frequent keyboard use/repetitive motion, frequent fine motor activity/wrist position deviation.
Job Description Disclaimer: This position description provides the major duties/responsibilities, requirements and working conditions for the position. It is intended to be an accurate reflection of the current position, however management reserves the right to revise or change as necessary to meet organizational needs. Other responsibilities may be assigned when circumstances require.
Lehigh Valley Health Network is an equal opportunity employer. In accordance with, and where applicable, in addition to federal, state and local employment regulations, Lehigh Valley Health Network will provide employment opportunities to all persons without regard to race, color, religion, sex, age, national origin, sexual orientation, gender identity, disability or other such protected classes as may be defined by law. All personnel actions and programs will adhere to this policy. Personnel actions and programs include, but are not limited to recruitment, selection, hiring, transfers, promotions, terminations, compensation, benefits, educational programs and/or social activities.
https://youtu.be/GD67a9hIXUY