Remote, HCC Medical Coders

Job Title{{:}} Medical Coder
Location{{:}} Remote, US
Job Type{{:}} Full-time / Permanent
Shift Hours{{:}} Applicant should be available to work from 6 AM to 6 PM CST.
Pay Rate{{:}}  Starting pay is $20/hr with benefits, with the opportunity to earn up to $27/hr based on your productivity and accuracy levels through performance pay. Additionally, you can qualify for a training assessment clearance bonus, offering the potential to earn up to $420 during the training period

Benefits -  Health, Dental, Vision, Short-term and Long-term disability, Life insurance, parental leave, and more!
 
Applicants are required to possess a Windows-operated laptop/desktop with video capabilities and high-speed internet connectivity.
 
Job Summary{{:}} We are seeking experienced Medical Coders with a strong background in Risk Adjustment and Hierarchical Condition Category (HCC) coding. The ideal candidate will hold at least a CPC or CCS certification from AHIMA or AAPC, and higher-level certifications are highly desirable. As a Medical Coder specializing in Risk Adjustment/HCC, you will play a crucial role in ensuring accurate and compliant coding for our healthcare organization.
 
Key Responsibilities{{:}}

• Review and accurately code medical records and encounters for diagnoses and procedures related to Risk Adjustment and HCC coding guidelines
• Ensure coding is consistent with ICD-10-CM, CMS-HCC, and other relevant coding guidelines
• Validate and ensure the completeness, accuracy, and integrity of coded data
• Identify and resolve coding discrepancies or discrepancies between clinical documentation and diagnosis coding
• Stay up-to-date with the latest coding guidelines, rules, and regulations related to Risk Adjustment and HCC coding
• Adhere to all 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 coding skills and knowledge
• Prepare and submit reports related to coding activities, coding accuracy, and any coding-related issues or trends
• Assist in internal and external coding audits to ensure the quality and compliance of coding practices
• Identify opportunities for process improvement and efficiency in the coding process
• Offer suggestions to enhance coding documentation and accuracy

Qualifications{{:}}

• Minimum CPC or CCS certification from AHIMA or AAPC is required. Higher-level certifications such as CRC (Certified Risk Adjustment Coder) is a significant advantage
• Minimum 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 collaboration with medical professionals and team members
• Understanding of compliance and confidentiality regulations, including HIPAA