Value Based Coder

Accompany Health is on a mission to give patients with complex needs the dignified, high-quality care they deserve but rarely receive. A primary, behavioral, and social care provider, Accompany Health walks alongside patients for their entire care journey, offering at-home and virtual care, as well as 24/7 support. Partnering with innovative payors, Accompany Health is powered by remarkable care teams, elegant technology, and a commitment to evidence-based practice. 

We build long-term relationships with our patients so they know, without question, that our team is here for them day or night, year after year. We focus on the health outcomes most important to our patients to make it clear that they lead the way.

To achieve our mission, we collaborate with community-based organizations, local providers, and health plans. Led by our empathetic care teams, guided by proven care models, and powered by our own technology, we deliver a level of service that our communities rightfully deserve but rarely receive. 

While our headquarters is in Bethesda, MD, our teams are distributed across the country. If you’re eager to make a tangible difference in people’s lives, to help correct long-standing disparities in health care, join us.

About the role:

As a Value Based Care (VBC) Coder for Accompany Health you will be:

• Concurrent review to ensure care teams achieve accurate and specific clinical documentation
• Compliant query generation, as needed
• Escalate any educational opportunities to improve clinical documentation in compliance with ICD-10 CM coding guidelines, internal protocols, and CMS and payer guidelines

Responsibilities will include:

• Concurrent review and feedback after face-to-face visit (in person or via telehealth) to ensure coding and documentation accurately captures patient health status
• Compliant query generation when conflicts or clarification is needed in documentation, prior to claim submission
• Corrected claim generation when compliant note amendments are completed
• Provide guidance to field staff and practices regarding general coding, documentation and risk adjustment best practices
• Partner with internal stakeholders to improve reporting and analytics tools to drive improvements in the accuracy and completeness of clinical documentation and diagnosis coding
• Reviews annual mapping updates of ICD-10 CM crosswalk from CMS Website 
• Other duties as assigned

What makes you a fit for the team:

• You are excited to work in a startup environment, with the ambiguity and shifting priorities that might come with it at times
• You are willing to go the extra mile no matter what
• You are passionate about our mission to improve the lives and healthcare outcomes of marginalized communities

Desired skills and experience:

• Required
• Current certification as a Certified Professional Coder (CPC), Certified Risk Adjustment Coder (CRC), or equivalent 
• 3+ years of recent, relevant work experience in medical coding, preferably in risk adjustment 
• Thorough understanding of medical coding guidelines and regulations including compliance, reimbursement, and the impact of diagnosis documentation on risk adjustment payment models 
• Subject matter expertise on the CMS HCC Risk Adjustment program, methodology, and impact to value-based contracts
• Preferred 
• Experience in pre-visit planning and provider education
• Experience with athenahealth
• Experience with GSuite and Google applications