HCC Coding and Risk Adjustment Specialist

13 hours ago

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Description

β€’ Contract (1099) HCC Coding & Risk Adjustment Specialist position for Mass Advantage. β€’ Fully remote work requiring up to 10 hours a week. β€’ Responsible for reviewing clinical and coding documentation, ensuring accuracy and compliance with guidelines.

Requirements

β€’ Minimum of three (3) years of HCC and/or outpatient coding experience. β€’ Minimum of two (2) years of supporting coding workflows within Epic. β€’ Thorough knowledge of risk adjustment payment methodologies. β€’ Thorough knowledge of ICD-CM (current edition). β€’ Thorough knowledge of third-party payer requirements as well as federal and state guidelines and regulations pertaining to coding and billing practices. β€’ Completion of Medical coding training and medical terminology from an accredited program required. β€’ Must pass certification program within one year from hire date - American Health Information Management Association (AHIMA) or American Academy of Professional Coders (AAPC) Certification(s) as Certified Risk Adjustment Coder (CRC).

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