HCC Risk Adjustment Medical Coder

New
United States, Must be available during PST hours for the first week of training.ContractMiddle
Salary not disclosed
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Job Details

Experience
Minimum of 2 years

Requirements

  • Active coding certifications such as CRC, CPC, CIC, COC, or CCS.
  • Minimum of 2 years of HCC risk adjustment coding experience.
  • Strong technical skills with the ability to adapt to multiple EMR systems and projects.
  • Ability to meet productivity and quality metrics consistently.
  • Private, distraction-free workspace with high-speed internet and hard-wired connection.
  • Must be available during PST hours for the first week of training.
  • Must pass a background check and drug test.
  • High school diploma or GED.

Responsibilities

  • Review medical records to identify and accurately code all relevant diagnoses according to CMS HCC categories.
  • Ensure accurate, complete, and specific documentation that supports risk adjustment requirements.
  • Conduct claims and encounter coding activities, verifying that documentation supports the HCC risk adjustment codes used.
  • Maintain up-to-date knowledge of coding standards, industry guidelines, and regulatory requirements.
  • Participate in training and provide feedback to enhance coding quality and efficiency.
  • Document coding information accurately in required systems and complete paperwork as needed.
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