Welcome Back

Google icon Sign in with Google
OR
I agree to abide by Pharmadaily Terms of Service and its Privacy Policy

Create Account

Google icon Sign up with Google
OR
By signing up, you agree to our Terms of Service and Privacy Policy
Instagram
youtube
Facebook

Remote, Hcc Medical Coders

Advantmed
Advantmed
2+ years
$27 per hour
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: Available to work from 6 AM to 6 PM CST

Pay Rate: Starting at $20/hr with benefits. Opportunity to earn up to $27/hr based on productivity and accuracy. Potential for a training assessment clearance bonus of up to $420 during the training period.

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

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

Job Summary: We are seeking experienced Medical Coders with expertise 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, with higher-level certifications being highly desirable. As a Medical Coder specializing in Risk Adjustment/HCC, you will ensure accurate and compliant coding for our healthcare organization.

Key Responsibilities:

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

Requirements:

  • Minimum CPC or CCS certification from AHIMA or AAPC required; higher-level certifications such as CRC (Certified Risk Adjustment Coder) are a significant advantage.
  • At least two years of experience in Risk Adjustment and HCC coding within 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.
  • Understanding of compliance and confidentiality regulations, including HIPAA.