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Remote, Hcc Medical Coders (Full-Time)

Advantmed
Advantmed
0-2 years
Compensation$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: 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.