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Remote HCC Medical Coder Position ID-10475

Job Overview

We are seeking a skilled Medical Coder with a specialization in Risk Adjustment and Hierarchical Condition Category (HCC) coding to become an integral part of our team. The ideal candidate will hold a CPC or CCS certification (from AHIMA or AAPC) and have a minimum of two years of experience in Risk Adjustment/HCC coding. This role is crucial for maintaining the accuracy and compliance of our coding processes within the healthcare organization.

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Key Responsibilities
  • Review and code medical records and encounters, ensuring adherence to Risk Adjustment and HCC coding guidelines.
  • Apply ICD-10-CM, CMS-HCC, and other pertinent coding standards to uphold accuracy and compliance.
  • Verify the completeness and integrity of coded data.
  • Resolve discrepancies between clinical documentation and diagnosis coding.
  • Stay updated on the latest coding guidelines, rules, and regulations regarding Risk Adjustment and HCC coding.
  • Maintain HIPAA compliance while safeguarding patient confidentiality and data security.
  • Collaborate with healthcare providers and team members to address coding queries and clarify documentation.
  • Engage in ongoing education and training to further enhance coding skills.
  • Compile reports on coding activities, accuracy, and emerging trends.
  • Assist in both internal and external coding audits to ensure adherence to coding practices.
  • Identify and recommend process improvements for coding and documentation accuracy.

Required Skills
  • CPC or CCS certification (required); CRC (Certified Risk Adjustment Coder) or higher-level certifications are preferred.
  • Minimum of 2 years of experience in a healthcare setting focusing on Risk Adjustment and HCC coding.
  • Comprehensive understanding of ICD-10-CM coding guidelines and CMS-HCC risk adjustment methodology.
  • Familiarity with electronic health record (EHR) systems and coding software.
  • Exceptional attention to detail, analytical capabilities, and ability to work autonomously.
  • Strong communication and interpersonal skills, essential for collaboration.
  • Knowledge of HIPAA and other compliance regulations.

Career Growth Opportunities

Our organization is committed to fostering professional development and continuous learning, providing ample opportunities for ongoing training and participation in coding audits. You will have the chance to contribute to process improvements, facilitating your career advancement.

Compensation And Benefits
  • Competitive hourly wage starting at \(20/hr, with potential earnings of up to \)27/hr based on performance metrics.
  • Flexible remote work arrangement suited for a part-time or seasonal role.
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