HCC Risk Adjustment Coder

April 3

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MedKoder, LLC

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MedKoder, LLC is a full-service medical coding management company specializing in providing expert medical coding services across all physician service lines, including inpatient and outpatient facility coding. The company also focuses on medical risk adjustment management and offers services for clinical documentation improvement, revenue integrity, and revenue cycle consulting. MedKoder utilizes proprietary technology, including Artificial Intelligence, Automated Business Intelligence, and Natural Language Processing, to automate coding processes and improve efficiency. Their customized tools and workflows are built in-house, providing clients with reduced costs and superior results in medical risk adjustment and clinical documentation improvement for Medicare Advantage, ACA, and Medicaid programs.

Coding Audit & Consulting • Clinical Documentation Improvement • DRG Management • Inpatient Coding • Outpatient Coding

51 - 200 employees

⚕️ Healthcare Insurance

☁️ SaaS

🤖 Artificial Intelligence

📋 Description

• Seeking a remote Professional HCC Risk Adjustment Coder • Apply technical and specialized expertise to help healthcare programs comply with regulations • Perform ICD-10-CM coding for risk adjustment-eligible encounters • Ensure compliance with coding guidelines and client-specific requirements • Prioritize daily duties and communicate effectively

🎯 Requirements

• High School diploma required • Associate or BS degree preferred • Successful completion of AAPC certified program with the achievement of the correlating professional credential of CPC and CRC is REQUIRED • A CPC-A is not acceptable • Minimum of at least 3 year of specialized experience in HCC disciplines- such as MA, ACA or Medicaid • Proficient knowledge of anatomy and physiology, medical terminology, disease processes, ICD-10-CM coding and guidelines and AMA Coding Clinic • Proficiency with Microsoft Word, Excel, PowerPoint, Windows, and electronic healthcare record information and billing systems • Experience working with Google Suite is preferred but not required • Experience working remotely is preferred but not required • Auditing experience a PLUS

🏖️ Benefits

• Up to 100% EMPLOYER PAID Medical, Dental, and Vision benefits for employees • 401K and Profit Sharing • STD, LTD, Life Insurance, and FSA Program • Paid AAPC and AHIMA corporate memberships • 30 Hours of CEU pay (continuance in education) • Generous paid time off, holiday pay, and flexible scheduling year-round