HCC Coding Specialist

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Optima MedicalHealthcare coding
Remote, Arizona OnlyFull-TimeJunior
Salary not disclosed
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Job Details

Experience
Minimum of 1 year of coding experience in Risk Adjustment. (2 years preferred)
Required Skills
Microsoft Excel

Requirements

  • Have at least 1 year of coding experience in Risk Adjustment; 2 years is preferred.
  • Hold a coding certification through AAPC or AHIMA, such as CPC or CRC; CPC-A and CCA are not accepted.
  • Have a high school diploma or equivalent.
  • Demonstrate high competency in Microsoft Outlook, Word, and Excel.
  • Maintain a high level of accuracy in a fast-paced production environment.
  • Be able to work independently under regular supervision.
  • Reside in Arizona.
  • Complete the initial 30 days onsite at the Scottsdale office and remain in good standing to transition to remote work.

Responsibilities

  • Perform code abstraction of medical records and diagnostic imaging to assign supported ICD-10-CM codes for HCC risk adjustment.
  • Identify diagnosis- and chart-level impairments and documentation improvement opportunities for provider education.
  • Recommend process improvements to enhance coding goals and outcomes.
  • Maintain current knowledge of ICD-10-CM codes, CMS documentation requirements, and state and federal regulations.
  • Meet minimum productivity requirements outlined by the project terms.
  • Handle other related duties as required or assigned.
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