Risk Adjustment Coder
Humana- Full Time
- Mid-level (3 to 4 years), Senior (5 to 8 years)
Virtua Health is seeking a skilled Medical Coder to accurately code and abstract hospital medical records. This role is crucial for ensuring the accuracy of coding and abstracting, meeting productivity standards, and collaborating with medical staff and Clinical Documentation Improvement (CDI) staff to clarify documentation. The Medical Coder will maintain performance in accordance with corporate compliance requirements, including Diagnosis Related Group (DRG) assignment.
At Virtua Health, our mission is to better serve our community by being present in all the moments that matter. We strive to connect individuals with the care they need, from wellness and prevention to specialized and life-changing treatments. Virtua Health is a Magnet-recognized health system, ranked by U.S. News and World Report, and has received multiple awards for quality, safety, and its outstanding work environment.
With five hospitals, seven emergency departments, seven urgent care centers, and over 280 other locations, Virtua Health is committed to community well-being. We provide life-changing resources and health services through programs like Eat Well, telehealth, home health, rehabilitation, mobile screenings, and paramedic programs. We are also affiliated with Penn Medicine for cancer and neurosciences, and the Children's Hospital of Philadelphia for pediatrics.
Reverses type 2 diabetes through personalized care
Virta Health focuses on reversing type 2 diabetes through a combination of personalized nutrition, continuous remote care, and behavioral science. Their treatment is designed for individuals diagnosed with type 2 diabetes, healthcare providers, and enterprise partners like employers and health plans. Unlike many competitors, Virta Health operates on a performance-based model, meaning they only receive payment if they achieve successful outcomes for their patients. This aligns their financial incentives with patient health improvements. The company's goal is to reverse type 2 diabetes in 100 million people, making their approach not just about managing diabetes but actively working towards its reversal.