HCC Coding and Risk Adjustment Specialist
November 5
Description
• Contract (1099) HCC Coding & Risk Adjustment Specialist position for Mass Advantage. • Fully remote work requiring up to 10 hours a week. • Responsible for reviewing clinical and coding documentation, ensuring accuracy and compliance with guidelines.
Requirements
• Minimum of three (3) years of HCC and/or outpatient coding experience. • Minimum of two (2) years of supporting coding workflows within Epic. • Thorough knowledge of risk adjustment payment methodologies. • Thorough knowledge of ICD-CM (current edition). • Thorough knowledge of third-party payer requirements as well as federal and state guidelines and regulations pertaining to coding and billing practices. • Completion of Medical coding training and medical terminology from an accredited program required. • 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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