Kettering Health is a not-for-profit system of 13 medical centers and more than 120 outpatient facilities serving southwest Ohio. We are committed to transforming the health care experience with high-quality care for every stage of life. Our service-oriented mission is in action every day, whether it’s by providing care in our facilities, training the next generation of health care professionals, or serving others through international outreach.

Kettering Health Medical Group 

• Our elite medical group employs more than 700 providers, including physicians and advanced practice providers, throughout the Greater Dayton and Cincinnati areas.   
• Our patients have access to a multidisciplinary professional team to meet all their healthcare needs. From primary care to brain and spine surgery, we provide an extensive range of specialties and expertise, in over 200 locations and ten counties.  
• Working collaboratively across specialties, we offer patients a team-based model of care in which the patient is the most important member of the healthcare team.

Essential Functions

• Review patient records cued for risk adjustment evaluation
• Provide feedback to the provider(s) regarding opportunities for additional documentation or coding
• Offer compliant queries to providers to guide the appropriate documentation and risk adjustment
• Evaluate every record for compliant documentation using the MEAT criteria (Monitor, Evaluate, Assess, Treat)
• Close records timely to promote optimal revenue capture.
• Partners with the revenue cycle team to offer feedback on the risk adjustment process within Kettering Health
• Partner with the clinical leadership to promote optimal risk adjustment across medical groups with adoption of suspect conditions and HCC refresh conditions.
• Partner with other team members to offer training support on standard work developed regarding execution of risk adjustment practices.
• Effectively use technology and tools to enhance risk adjustment, including electronic health records (EHR) systems and risk adjustment software.
• Foster a positive and inclusive work environment through workplace behaviors that are consistent with the system’s core values.

Skills

• Strong written and verbal communication skills. Proficient in data entry, personal computers, knowledge of medical terminology, anatomy and physiology and disease processes
• Ability to work with interdisciplinary teams, providers and clinicians

• Self-awareness with conflict or disagreement

• Post-high school training in finance, billing, or accounting preferred.
• Previous experience in a medical environment preferred
• Knowledge of medical terminology, CPT & ICD-9 coding preferred.