Fast Pace Health strives to provide a best in class patient experience in every interaction. We are seeking a highly-skilled, experienced Risk Adjustment Coding Specialist RN to join our growing team as a Clinic Director. Our ideal candidate will be an experianced Provider looking to further develop their leadership skills. They will be deeply committed to nurturing our Fast Pace mission of teamwork, communication, empowerment and quality care in a friendly and encouraging environment. 

Fast Pace Health aims to push for a new vision of healthcare in rural communities that will consist of an array of different services. We are changing the delivery of healthcare in these rural areas by integrating excellent patient care, education, accessibility, and community service, in a way that puts the patient’s needs first and improves the health status of our communities.

Fast Pace Health is a growing company! You will have the support and mentoring you need to become the best Risk Adjustment Coding Specialist RN you can be! We will help you grow your clinical competencies, and can offer you a rewarding career path. We work as a dynamic team to surpass our business goals by ensuring our patients receive the best care possible in a positive environment.

We offer competitive compensation and benefits such as holiday pay, PTO, medical, dental, vision and Work-Life balance, to name a few.

As a Fast Pace Health employee you will have the opportunity to participate in community events and outreach programs. This includes, but is not limited to, seasonal parades, book drives, festivals, trunk or treating, fun runs, and more. We dress up for holidays and celebrate with pot lucks. At Fast Pace, our community is our family, and we are a family first community.

The RAF Coding Specialist RN is primarily responsible for implementing the FastPace risk adjustment strategy across our providers, payors and vendors. These duties include annual chart abstractions to payors to support coding audits and reviews. Regularly evaluating physician ambulatory records to validate accuracy and appropriateness of HCC coding practices. Developing and implementing physician-based training programs for risk adjustment. Oversee and audit vendors performance, provide regular reporting on auditing function and vendor performance as assigned.

Below, we have provided a high level view of what the role entails, with the complete job description discussed in detail during our interviewing process.

• Responsible for learning the aspects of compliance in the company by completing all mandatory compliance training.
• Reviews patient medical records and abstracts medical data that identifies all diagnoses and procedures.
• Codes diagnoses, procedures, and appropriate modifiers from the medical record documentation using ICD-10-CM, CPT4/HCPCS classification systems.
• Refers to a computerized encoding system, written coding aids and other reference materials to ensure accurate coding for billing.
• Abstracts for payors and other vendors patient charts and claims for risk adjustment review and auditing.
• Work in conjunction with supervisor with payors to review risk adjustment trends and opportunities, develops and implements strategies based on trends.
• Perform random chart audits; evaluates physicians’/clinicians’ documentation and coding skill level and educates them when appropriate in order to improve knowledge and application.
• Performs targeted chart reviews in ambulatory physician offices to evaluate any trends seen and identifies areas for improvement in coding the severity of illness.
• Formulates a report describing findings and focused action plan for the physician/clinician/staff member.
• Developing provider trainings and tools on risk adjustment education, auditing, and other topics as assigned.
• Working with leadership on IT solutions for appropriate risk capture and audits.
• Reviews focused action plan with the physician/clinician and office staff and validates their understanding.
• Develops reports of findings and action plan.
• Is available for follow up questions and educational activities for the staff/clinicians.
• The ability to maintain friendly, cordial relations with all employees.
• The ability to build and maintain confidence and credibility with all employees.
• The ability to maintain friendly, cordial relations with all clients and employees; maintain a positive work atmosphere by acting and communicating in a manner that results in a positive work relationship with customers, co-workers and managers.
• The ability to perform the physical, use of senses, cognitive, and environmental functions of the position, as specified on the physical demands.
• Ability to comply with Company standards of operations.
• Ability to adhere to the Core Values of the Company, of teamwork, communication, empowerment, quality of care, and friendliness.
• The ability to promote and maintain a respectful culture of employee, employer and business confidentiality.

• RN Degree
• Nursing experience in managed care organization or acute care hospital preferred. 2-3 years of outpatient physician office coding experience preferred.
• CPC Credential-Required;
• Valid/Current CPC Certification, through APPC-preferred;
• RHIA/RHIT Credentials-Preferred;
• Knowledge of ICD-10-CM, medical terminology, anatomy and physiology, federal regulations and policies pertaining to documentation and billing. 
• Excellent computer skills required.
• Past experience working with excel preferred.
• Knowledge and understanding of Hierarchical Condition Categories (HCC) preferred.
• Experience in EPIC preferred, but not required

Fast Pace Health is committed to the principle of equal employment and creating an inclusive environment for the benefit of our employees, our patients, and our communities. We are an equal opportunity employer and welcome job applications from qualified individuals without regard to race, creed, color, ancestry, religion, sex, sexual orientation, gender identity, pregnancy, national origin, age, disability, veteran status, marital status, parental status, genetic information or any other legally protected characteristics or conduct.
Please refer to the links below for information regarding your rights under certain federal laws:
https://www.dol.gov/sites/dolgov/files/WHD/legacy/files/fmlaen.pdf
https://www.dol.gov/whd/regs/compliance/posters/eppac.pdf
Mississippi Residents Only:
In Mississippi, Fast Pace requires pre-employment/drug/alcohol testing as a condition of employment. The law requires that Fast Pace notify applicants, in writing, upon application and prior to the collection of the specimen for drug and alcohol test, that they may be tested for “the presence of drugs [or alcohol] in their metabolites.” Miss. Code. Ann. § 71-7-3(5).