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    Remote, Hcc Medical Coders

    Advantmed
    2+ years
    $27 per hour
    Remote, USA
    10 Sept. 9, 2024
    Job Description
    Job Type: Full Time Education: B.Sc./ M.Sc./ M.Pharm/ B.Pharm/ Life Sciences Skills: Causality Assessment, Clinical SAS Programming, Communication Skills, CPC Certified, GCP guidelines, ICD-10 CM Codes, CPT-Codes, HCPCS Codes, ICD-10 CM, CPT, HCPCS Coding, ICH guidelines, ICSR Case Processing, Interpersonal Skill, Labelling Assessment, MedDRA Coding, Medical Billing, Medical Coding, Medical Terminology, Narrative Writing, Research & Development, Technical Skill, Triage of ICSRs, WHO DD Coding

    Job Title: Medical Coder

    Location: Remote, US

    Job Type: Full-time / Permanent

    Shift Hours: Available to work from 6 AM to 6 PM CST

    Pay Rate: Starting at $20/hr with benefits. Opportunity to earn up to $27/hr based on productivity and accuracy. Potential for a training assessment clearance bonus of up to $420 during the training period.

    Benefits: Health, Dental, Vision, Short-term and Long-term Disability, Life Insurance, Parental Leave, and more!

    Requirements: Applicants must have a Windows-operated laptop/desktop with video capabilities and high-speed internet connectivity.

    Job Summary: We are seeking experienced Medical Coders with expertise 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, with higher-level certifications being highly desirable. As a Medical Coder specializing in Risk Adjustment/HCC, you will ensure accurate and compliant coding for our healthcare organization.

    Key Responsibilities:

    • Review and accurately code medical records and encounters according to Risk Adjustment and HCC coding guidelines.
    • Ensure coding is compliant with ICD-10-CM, CMS-HCC, and other relevant guidelines.
    • Validate the completeness, accuracy, and integrity of coded data.
    • Identify and resolve discrepancies between clinical documentation and diagnosis coding.
    • Stay current with coding guidelines, rules, and regulations related to Risk Adjustment and HCC.
    • Adhere to compliance and HIPAA regulations to protect data security and patient confidentiality.
    • Collaborate with healthcare providers, physicians, and team members to clarify documentation and resolve coding issues.
    • Participate in coding education and training to enhance skills and knowledge.
    • Prepare and submit reports on coding activities, accuracy, and related issues or trends.
    • Assist in internal and external coding audits to ensure quality and compliance.
    • Identify and suggest improvements for coding processes and documentation accuracy.

    Requirements:

    • Minimum CPC or CCS certification from AHIMA or AAPC required; higher-level certifications such as CRC (Certified Risk Adjustment Coder) are a significant advantage.
    • At least two years of experience in Risk Adjustment and HCC coding within a healthcare setting.
    • Strong knowledge of ICD-10-CM coding guidelines and CMS-HCC risk adjustment methodology.
    • Familiarity with electronic health record (EHR) systems and coding software.
    • Excellent attention to detail, analytical skills, and ability to work independently.
    • Strong communication and interpersonal skills for effective collaboration.
    • Understanding of compliance and confidentiality regulations, including HIPAA.

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