CSI Companies is actively hiring for a REMOTE SENIOR Risk Adjustment Medical Coder for a HHS IVA RADV Audit. The coder will be required to work full-time hours ( minimum 35 hours a week).

This position requires a minimum of 3 years Risk Coding on Commercial Charts. We strongly desire coders with ACA HHS IVA RADV experience.

Check out what other coders are sharing about their experience working at CSI- Indeed Reviews


The What You Want to Know!

• 100% REMOTE - Work from home
• Flexible working schedule
• PAY PER HOUR model
• Paid training
• Long term contract position- Benefits Offered!
• Required Certification: Active certified coder certification through AHIMA or AAPC required: CRC, CPC, CCS-P, CCS (Certified Risk Adjustment Coder, Certified Professional Coder, Certified Coding Specialist- Physician Based)
• Pay: $26-30/hr based on experience

• Assign appropriate ICD–10-CM codes, mapping to risk adjustment models as applicable
• Assign Event codes when documentation in the record is inadequate, ambiguous, or otherwise unclear for medical coding purposes
• Comply with the Standards of Ethical Coding as set forth by the American Health Information Management Association and adhere to official coding guidelines
• Comply with HIPAA laws and regulations
• Support chart audit processes, including audit provider and vendor documentation of ICD-9 and ICD-10 codes to ensure adherence with Center for Medicare & Medicaid Services (CMS) risk adjustment guidelines, and act as a liaison between internal departments and external entities on regulatory data validation audits (including HHS RADV).
• Perform root cause analysis to identify issues that may contribute to coding and documentation deficiencies.
• Perform internal and external coding quality reviews to validate correct ICD-10-CM code assignments.
• Maintain quality and production standards required by company - all medical coders must maintain minimum QA passing requirements. Quality expectations are 95% accuracy on all projects.
• Remain current on diagnosis coding guidelines and risk adjustment reimbursement reporting requirements

• Active certified coder certification (CRC, CPC, CCS, CCS - P) through AHIMA or AAPC
• Minimum 3 years of experience as a certified coder
• Minimum 3 year of risk adjustment experience
• A minimum of 2 years experience Risk Coding Commercial Charts
• Ability to code using an ICD-10-CM code book
• Computer proficiency (including MS Windows, MS Office, and the Internet
• High-speed Internet access

• Knowledge of HIPAA, recognizing a commitment to privacy, security and confidentiality of all medical chart documentation

• Prior experience with ACA HHS IVA RADV projects
• Strong clinical knowledge related to chronic illness diagnosis, treatment and management
• Extensive knowledge of ICD-10-CM outpatient diagnosis coding guidelines (knowledge and demonstrated understanding of Risk Adjustment coding and data validation requirements is highly preferred)
• Reliability and a commitment to meeting tight deadlines
• Personal discipline to work remotely without direct supervision
• Exemplary attention to detail and completeness
• Strong organization, interpersonal, and customer service skills
• Written and oral communication skills
• Analytical skills