Remote - HCC / Risk Adjustment Medical Coders (6598)
Salary$46k – $46k
LocationUnited States
Work moderemote
Typefull-time
Department24_01-Medical Record Review
Company size1,001–5,000 people
First seen1w ago
Last seen1d ago
Benefits
Job Title: HCC / Risk Adjustment Medical Coder
Location: Remote, US
Shift Hours: Applicant should be available to work from 6 AM to 6 PM EST.
Pay Rate: $22/hr.
Requirements
Candidates must be available to commit to a minimum of 20 hours per week, Monday through Friday. Preference will be given to candidates who can commit to a full-time schedule of 40 hours per week.
Important: This position follows a Bring Your Own Device (BYOD) policy. Candidates must have a Windows-based laptop/desktop with Windows Professional Edition (Windows Pro) and a reliable high-speed internet connection. Systems running Windows Home Edition are not compatible with the security requirements for this role.
About the role
Job Summary: We are seeking experienced Medical Coders with a strong background in Risk Adjustment and Hierarchical Condition Category (HCC) coding. The ideal candidate will hold at least a CPC or CCS certification from AHIMA or AAPC, and higher-level certifications are highly desirable. As a Medical Coder specializing in Risk Adjustment/HCC, you will play a crucial role in ensuring accurate and compliant coding for our healthcare organization.
Key Responsibilities:
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Review and accurately code medical records and encounters for diagnoses and procedures related to Risk Adjustment and HCC coding guidelines.
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Ensure coding is consistent with ICD-10-CM, CMS-HCC, and other relevant coding guidelines.
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Validate and ensure the completeness, accuracy, and integrity of coded data.
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Identify and resolve coding discrepancies or discrepancies between clinical documentation and diagnosis coding.
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Stay up-to-date with the latest coding guidelines, rules, and regulations related to Risk Adjustment and HCC coding.
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Adhere to all compliance and HIPAA regulations to maintain data security and patient confidentiality.
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Collaborate with healthcare providers, physicians, and other team members to clarify documentation and resolve coding queries.
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Participate in coding education and training programs to enhance coding skills and knowledge.
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Prepare and submit reports related to coding activities, coding accuracy, and any coding-related issues or trends.
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Assist in internal and external coding audits to ensure the quality and compliance of coding practices.
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Identify opportunities for process improvement and efficiency in the coding process.
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Offer suggestions to enhance coding documentation and accuracy.
Requirements
Qualifications:
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Minimum CPC or CCS certification from AHIMA or AAPC is required. Higher-level certifications such as CRC (Certified Risk Adjustment Coder) is a significant advantage. CPC-A (Apprentice) certification will not be considered for this position.
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Minimum one to two years of experience in Risk Adjustment and HCC coding in a healthcare setting.
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Strong knowledge of ICD-10-CM coding guidelines and CMS-HCC risk adjustment methodology.
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Familiarity with electronic health record (EHR) systems and coding software.
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Excellent attention to detail, analytical skills, and ability to work independently.
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Strong communication and interpersonal skills for collaboration with medical professionals and team members.
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Understanding of compliance and confidentiality regulations, including HIPAA.