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    Remote, Hcc Medical Coders (Full-Time)

    Advantmed
    0-2 years
    Compensation$27 per hour
    Irvine
    10 Sept. 9, 2024
    Job Description
    Job Type: Full Time Education: B.Sc./ M.Sc./ M.Pharm/ B.Pharm/ Life Sciences Skills: Causality Assessment, Clinical SAS Programming, Communication Skills, CPC Certified, GCP guidelines, ICD-10 CM Codes, CPT-Codes, HCPCS Codes, ICD-10 CM, CPT, HCPCS Coding, ICH guidelines, ICSR Case Processing, Interpersonal Skill, Labelling Assessment, MedDRA Coding, Medical Billing, Medical Coding, Medical Terminology, Narrative Writing, Research & Development, Technical Skill, Triage of ICSRs, WHO DD Coding

    Job Title: Medical Coder
    Location: Remote, US
    Job Type: Full-time / Permanent
    Shift Hours: Availability from 6 AM to 6 PM CST required.
    Pay Rate: Starting at $20/hr with benefits; potential to earn up to $27/hr based on productivity and accuracy. Qualify for a training assessment clearance bonus of up to $420.

    Benefits: Health, Dental, Vision, Short-term and Long-term Disability, Life Insurance, Parental Leave, and more.

    Requirements: Must have a Windows-operated laptop/desktop with video capabilities and high-speed internet connectivity.

    Job Summary:

    We are looking for experienced Medical Coders with a strong background in Risk Adjustment and Hierarchical Condition Category (HCC) coding. The ideal candidate will have at least a CPC or CCS certification from AHIMA or AAPC, with higher-level certifications being highly desirable. As a Medical Coder specializing in Risk Adjustment/HCC, you will be crucial in ensuring accurate and compliant coding for our healthcare organization.

    Key Responsibilities:

    • Review and code medical records and encounters for diagnoses and procedures in line with Risk Adjustment and HCC coding guidelines.
    • Ensure coding aligns with ICD-10-CM, CMS-HCC, and other relevant coding guidelines.
    • Validate the completeness, accuracy, and integrity of coded data.
    • Identify and resolve discrepancies between clinical documentation and diagnosis coding.
    • Stay current with the latest coding guidelines, rules, and regulations related to Risk Adjustment and HCC coding.
    • Adhere to compliance and HIPAA regulations to maintain data security and patient confidentiality.
    • Collaborate with healthcare providers, physicians, and other team members to clarify documentation and resolve coding queries.
    • Participate in coding education and training programs to enhance skills and knowledge.
    • Prepare and submit reports on coding activities, accuracy, and related issues.
    • Assist in internal and external coding audits to ensure quality and compliance.
    • Identify and recommend improvements for the coding process and documentation accuracy.

    Qualifications:

    • Minimum CPC or CCS certification from AHIMA or AAPC required. Higher-level certifications, such as CRC (Certified Risk Adjustment Coder), are advantageous.
    • Minimum of two years of experience in Risk Adjustment and HCC coding in a healthcare setting.
    • Strong knowledge of ICD-10-CM coding guidelines and CMS-HCC risk adjustment methodology.
    • Familiarity with electronic health record (EHR) systems and coding software.
    • Excellent attention to detail, analytical skills, and ability to work independently.
    • Strong communication and interpersonal skills for effective collaboration with medical professionals and team members.
    • Understanding of compliance and confidentiality regulations, including HIPAA.

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