Job Description

Work From HomeWork From Home Work From Home, Indiana 46544

The Certified Risk Adjustment Coder (CRC) within Franciscan is a position responsible for the auditing and reviewing of specific visit types for diagnosis, coding, and medical documentation compliance using certified coding guidelines. This position assists providers to thoroughly document all chronic disease processes and manifestations in the patients’ medical record utilizing their clear understanding of guidelines, regulations, diagnostic coding, and risk adjustment. Additional responsibilities include helping billing staff establish the medical necessity of charges, providing feedback to clinical staff and providers on coding issues, and reviewing denials.

WHO WE ARE
Franciscan Health is a non-profit health care ministry with primary and specialty care physician groups located throughout Indiana and Illinois. Franciscan is known for our mission of caring. Our values of Respect for Life; Fidelity to Our Mission; Compassionate Concern; Joyful Service; and Christian Stewardship extend to our employees and patients.
With 12 hospital ministries, Franciscan Health is one of the largest Catholic health care organizations in the Midwest. Franciscan Health includes over 1,000 employed physicians and advanced practice providers. Franciscan providers enjoy a team approach to care. Of our 260+ locations, many are nationally recognized Centers of Health Care Excellence.

WHAT YOU CAN EXPECT

• Schedule: Monday thru Friday - Day shift

• Review specific visit types to confirm eligibility, verify place of service, appropriate coding and documentation.

• Assign appropriate diagnosis codes using ICD-10-CM, and procedure codes using CPT and HCPCS.

• Link proper diagnosis code with appropriate CPT code for billing purposes.

• Identify and communicate documentation deficiencies to providers.

• Submit statistical data with regards to weekly production.

• Process clinical professional charges timely and accurately.

• Review and process claim edits and clinical professional charges for insurance and coding accuracy and compliance.

QUALIFICATIONS

• High School Diploma/GED - Required

• 2 years Risk Adjustment Coding- Required

• Certified Risk Adjustment Coder (CRC) - Advancing the Business of Healthcare (AAPC) - Required

TRAVEL IS REQUIRED:

Never or RarelyJOB RANGE:Coder Certified - HCC Physician Practice $19.18-$28.53INCENTIVE:Not Applicable

EQUAL OPPORTUNITY EMPLOYER

It is the policy of Franciscan Alliance to provide equal employment to its employees and qualified applicants for employment as otherwise required by an applicable local, state or Federal law.

Franciscan Alliance reserves a Right of Conscience objection in the event local, state or Federal ordinances that violate its values and the free exercise of its religious rights.

Franciscan Alliance is committed to equal employment opportunity.

Franciscan provides eligible employees with comprehensive benefit offerings. Find an overview on the benefit section of our career site, jobs.franciscanhealth.org