Coder Outpatient

UCHealth; Denver (CO); À distance; USD 33 000 - 50 000; Plein temps

Résumé du poste

UCHealth seeks a Medical Coder focused on Hierarchical Condition Category (HCC) and Risk Adjustment coding. The role reviews records to assign diagnoses and procedures per CMS and payer guidelines, ensuring accurate documentation and compliant code capture.

The position is 100% remote with eligibility for out-of-state candidates. Requires AHIMA/AAPC certification and relevant experience; AAPC CRC is strongly preferred. Include certification numbers in resume.

Qualifications

• Preferred: Experience with Medicare Advantage and Risk Adjustment coding.
• Knowledge of HCC models, RAF scoring, and chronic condition documentation requirements.
• Experience performing retrospective or concurrent chart reviews to identify missed HCC opportunities.

Responsabilités

• Reviews medical records to determine all appropriate diagnostic and procedural code assignments using the appropriate classifications systems.
• Assigns charges for applicable clinics/departments as appropriate.
• Communicates with department manager/supervisor on coding, compliance and documentation issues.
• Seeks clarification from healthcare providers or other designated resources to ensure accurate and complete coding. Enhances coding knowledge and skills with continuing education activities and by reviewing pertinent literature.
• Within scope of job, requires critical thinking skills, decisive judgement and the ability to work with minimal supervision.
• Must be able to work in a fast-paced environment and take appropriate action.
• Reviews provider documentation to identify and assign accurate HCC and Risk Adjustment diagnoses in accordance with CMS and payer guidelines, ensuring complete documentation and compliant code capture.

Connaissances

HCC coding knowledge

RAF scoring

chart review experience

Formation

High School diploma GED

AHIMA or AAPC certification preferred

CRC certification preferred

RHIA RHIT CCS CCS-P CCA CPC CPC-H within 1 year

Description du poste

Description

• Department: UCHlth Professional Coding
• Work Schedule: Full Time, 80.00 hours per pay period (2 weeks)
• Shift: Days
• Pay: $24.11 - $36.17 / hour. Pay is dependent on applicant's relevant experience

• Location: UCHealth UCHlth Admin Lowry, US:CO:Denver
• Department: UCHlth Professional Coding
• Work Schedule: Full Time, 80.00 hours per pay period (2 weeks)
• Shift: Days
• Pay: $24.11 - $36.17 / hour. Pay is dependent on applicant's relevant experience

This position is 100% remote. Eligible out-of-state candidates may be considered.

Include AAPC or AHIMA certification number in resume/application.

Summary

Assigns codes to medical diagnoses and procedures using appropriate coding classifications for assigned areas/record types. This position is focused on Hierarchical Condition Category (HCC) and Risk Adjustment coding, requiring review of clinical documentation to accurately capture chronic conditions, disease burden, and risk-adjusted diagnoses in accordance with CMS and payer guidelines.

Responsibilities

• Reviews medical records to determine all appropriate diagnostic and procedural code assignments using the appropriate classifications systems.
• Assigns charges for applicable clinics/departments as appropriate.
• Communicates with department manager/supervisor on coding, compliance and documentation issues.
• Seeks clarification from healthcare providers or other designated resources to ensure accurate and complete coding. Enhances coding knowledge and skills with continuing education activities and by reviewing pertinent literature.
• Within scope of job, requires critical thinking skills, decisive judgement and the ability to work with minimal supervision. Must be able to work in a fast-paced environment and take appropriate action.
• Reviews provider documentation to identify and assign accurate HCC and Risk Adjustment diagnoses in accordance with CMS and payer guidelines, ensuring complete documentation and compliant code capture.

Requirements

• High School diploma GED.
• Preferred: Experience with Medicare Advantage and Risk Adjustment coding. Knowledge of HCC models, RAF scoring, and chronic condition documentation requirements. Experience performing retrospective or concurrent chart reviews to identify missed HCC opportunities.
• Coding-related certification from AHIMA or AAPC as determined at position level. Strongly preferred: Certified Risk Adjustment Coder (CRC) certification. credential through AAPC.
• ADDITIONAL POSITION LEVEL CREDENTIAL INFORMATION: RHIA, RHIT, CCS, CCS-P, CCA, CPC, CPC-H within 1 year.

Employees are our number one asset.

UCHealth promotes a culture that invests in professional success and personal well-being through a comprehensive total rewards program. *

Recognition

• Performance bonus: UCHealth offers a 3-Year Incentive Bonus to recognize employee contributions to our success in quality, patient experience, organizational growth, financial goals and tenure. The bonus accumulates annually each October and is paid out in October during the third year of employment.
• Performance-based pay increase: The Annual Merit Pay Increase recognizes work performance that meets or consistently exceeds performance standards documented through UCHealth's established evaluation process and accounts for increased experience, skills and cost of living.
• Market reviews: All UCHealth positions are reviewed annually to ensure UCHealth base pay aligns with market standards. Base pay rates are adjusted as needed to stay market competitive.

Health and well-being

• Medical, dental and vision coverage.
• Access to 24/7 mental health and well-being support for employees and dependents.
• Discounted gym memberships and fitness resources.
• Free Care.com membership.
• Voluntary benefits such as accident insurance, critical illness insurance, group legal plan, identity theft protection, pet insurance, auto and home insurance, and employee discount programs.
• Time away from work: Paid time off (PTO), paid family and medical leave (inclusive of Colorado FAMLI), leaves of absence.
• Employer-provided basic life and accidental death and dismemberment coverage with buy-up coverage options.
• Employer-provided short-term disability and long-term disability with a buy-up coverage option.

Retirement and savings

• 403(b) plan with employer matching contribution.
• Additional 457(b) plan may be available.
• Flexible spending accounts for health care and dependent day care; health savings account available when enrolled in high-deductible (HD) medical plan.

Education and career growth

• UCHealth provides access to academic degrees and certificate programs to promote professional and personal growth.
• Up to 100% of tuition, books and fees paid for by UCHealth for specific educational degrees.
• Other programs may qualify for up to $10,000/year pre-paid by UCHealth or up to $5,250/year in the form of tuition reimbursement.
• Access to LinkedIn Learning, which offers thousands of virtual courses and seminars, and internal professional development opportunities.
• Employees have access to free assistance navigating the Public Service Loan Forgiveness program and submitting their federal student loans for forgiveness.
• Eligibility for some programs is based on an employee's scheduled work hours.

We improve lives. In big ways through learning, healing, and discovery. In small, personal ways through human connection. But in all ways, we improve lives.

UCHealth always welcomes talent. This position will be open for a minimum of three days and until a top applicant is identified.

UCHealth recognizes and appreciates the rich array of talents and perspectives that equal employment and diversity can offer our institution. As an equal opportunity employer, UCHealth is committed to making all employment decisions based on valid requirements. No applicant shall be discriminated against in any terms, conditions or privileges of employment or otherwise be discriminated against because of the individual's race, color, national origin, language, culture, ethnicity, age, religion, sex, disability, sexual orientation, gender, veteran status, socioeconomic status, or any other characteristic prohibited by federal, state, or local law. UCHealth does not discriminate against any qualified applicant with a disability as defined under the Americans with Disabilities Act and will make reasonable accommodations, when they do not impose an undue hardship on the organization.

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