Compliance Coordinator (HCC Risk Adjustment) - Professional Coding Division (PCD) - PFS
Education Requirements:
- Bachelor’s degree in healthcare administration, business, finance, or a related field or an equivalent amount of education and experience is required.
- CPC, CRC, CCS-P, CCS-H, RHIT, or RHIA certification is required.
Experience Requirements:
- 3 years’ experience in risk adjustment medical coding
- Strong knowledge of HCC coding guidelines, CMS risk adjustment models, and regulatory requirements
- Knowledge of insurance regulations and Medicare and Medicaid guidelines as related to clinical documentation and clinical indicators
- Proven experience in leading coding programs, preferably in a large healthcare organization
- Strong ability to collaborate across departments and manage stakeholders in a complex, matrixed environment
- Strong problem-solving and research skills
- Strong clinical knowledge related to chronic illness diagnosis, treatment and management
- Ability to interpret CMS regulations and guidance
- Demonstrated ability to provide coding advice to all areas of coding staff, other departments throughout UI Health Care, and other entities as requested
- Ability to analyze complex clinical scenarios and apply critical thinking
- Proven ability to effectively plan, prioritize, and organize tasks to achieve strategic goals
- Excellent written, verbal, and interpersonal communication skills
- Proficiency with MS Word, PowerPoint, and Excel, including database and spreadsheet analysis
Desired Qualifications:
- Master’s Degree preferred
- Experience with Medicare Advantage, MSSP, or other value-based care models
- Familiarity with population health initiatives and care coordination in an ACO or similar setting
- Experience performing coding audits
- Knowledge of UI Health Care policies and procedures
- CRC certification
- Experience with EPIC
Application Process:
In order to be considered for an interview, applicants must upload the following documents and mark them as a “Relevant File” for the submission:
- Resume
- (optional) Cover Letter
Job openings are posted for a minimum of 14 calendar days and may be removed from posting and filled any time after the original posting period has ended. Applications will be accepted until 11:59 PM on the date of closing.
Successful candidates will be required to self-disclose any conviction history and will be subject to a criminal background check and credential/education verification. Up to 5 professional references will be requested at a later step in the recruitment process.
Equal opportunity/affirmative action employer
The University of Iowa is an equal opportunity/affirmative action employer. All qualified applicants are encouraged to apply and will receive consideration for employment free from discrimination on the basis of race, creed, color, religion, national origin, age, sex, pregnancy (including childbirth and related conditions), disability, genetic information, status as a U.S. veteran, service in the U.S. military, sexual orientation, gender identity, or associational preferences.
Persons with disabilities who need assistance or accommodations with the application or interview process may contact University Human Resources/Faculty and Staff Disability Services, (319) 335-2660 or fsds@uiowa.edu. For jobs in UI Health care, please contact UI Health care Leave & Disability Administration at 319-356-7543.
