HCC Coding Specialist (Part Time)

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Remote/Work from home (within the U.S.), ESTPart-TimeMiddle
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Job Details

Experience
Minimum of 6 months of recent retrospective HCC coding experience PLUS 1 years of additional coding experience
Required Skills
Microsoft Excel

Requirements

  • Minimum of 6 months of recent retrospective HCC coding experience
  • 1 years of additional coding experience
  • A valid AAPC or AHIMA coding credential required
  • Acceptable credentials would be CPC, CRC, COC, RHIT, CCS, or CCS-P
  • Apprenticeship designations are not accepted
  • Must have working knowledge and experience with systems such as EMRs, Billing systems, abstraction platforms, etc.
  • Must have a phone and reliable internet connection
  • Must be able to work from home and be independent in their coding skills
  • Must be proficient in Microsoft programs like Excel and Outlook
  • Excel: able to open and add to a spreadsheet, perform basic formulas like adding or multiplying
  • Outlook: able to manage emails and schedule and attend meetings
  • Ability to communicate effectively and professionally both verbally and written
  • Ability to coordinate, analyze, observe, make decisions, and meet deadlines

Responsibilities

  • Review medical records to abstract ICD-10 codes, specifically those that map to HCCs, RxHCCs, and ESRD models
  • Follow Medicare guidelines, ICD-10-CM guidelines as well as client specific requirements
  • Review, analyze, and code patient medical records based on client specific guidelines
  • Follow ICD-10-CM Coding Guidelines and interpret coding guidelines for accurate code assignment
  • Follow Risk Adjustment Data Abstraction Rules
  • Ensure individual compliance with all privacy and security rules and regulations and commit to the protection of all Company confidential information, including but not limited to, Personal Health Information
  • Maintain a quality score of 95% or higher
  • Maintain an ongoing productivity level based on project requirements
  • Perform other duties as assigned by Leadership Team Member
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