HCC Risk Adjustment Coder

September 7

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The End-to-End Platform for Risk Adjustment, Quality Improvement, and Member Management

51 - 200

Description

• Review of medical records as needed and assist platform clients as needed with backlog. • Work population of clinical pends, with goal to clear within 72 hours. • Updating and maintaining training course material for medical record abstraction and data entry. • Reviewing training test scores and sending feedback if necessary. • Assigning and overreading disciplinary charts. • Reviewing reports daily for QA scores during the season(s). • Maintaining an accuracy score of 95% on all work submitted. • Must be able to work independently and in a team environment. • Client trainings if needed. • Managing and addressing questions and clarifications that coders submit to a designated online communication forum.

Requirements

• Current Coding Certification (CPC, CPC-P, CPC-H, CPC-I, CRC, CCS) through AAPC and/or AHIMA. • Minimum of 5 years coding experience with specific knowledge of Medicare and Commercial Risk Adjustment. • Additional experience in facility (OPPS/IPPS) coding experience is preferred. • Additional experience in Health Plan Risk Adjustment Data Validation Audit (RADV) experience is preferred. • Ability to work independently in a fast-paced remote environment with minimal supervision and guidance. • Ability to interact with management and remote coding personnel. • Possess strong organizational skills and attention to detail. • Ability to adapt to changing priorities while managing a wide range of projects. • Adaptive and flexible to new ideas and change. • Advanced knowledge of medical terminology, anatomy and pharmacology. • Advanced skills utilizing official coding resources for research and problem solving. • Advanced skills and knowledge of computers, use of required software to perform job functions. • Excellent written and communication skills and the ability to explain complex information

Benefits

• Competitive pay • Medical, Dental and Vision benefits including HSA/FSA • 401k with Employer Match • 100% paid short term and long-term disability insurance • PTO plan and 10 paid company holidays