HCC Coder & Risk Adjustment Specialist

Omega Healthcare Management Services Pvt. Ltd.; Boca Raton, Northern (FL, KY); Hybrid; USD 65,000 - 95,000; Full time

Benefits offered by this job

Health, dental, vision coverage

401(k) with employer match

Paid time off & holidays

Bonus programs or incentives

Job summary

Omega Healthcare Management Services is seeking a Coder HCC in Boca Raton, FL to review medical records and code diagnoses, procedures, DRG/APC and charges. You will ensure accurate coding for reimbursement and quality reporting while maintaining HIPAA compliance.

The role requires CPC/CCS/RHIT/RHIA/CRC or equivalent, with at least 2 years of risk adjustment, 3M and Epic experience. Competitive benefits and a dynamic team are offered.

Qualifications

• Certified Professional Coder CPC, CCS, RHIT, RHIA, CRC or equivalent credential required.
• Minimum of 2 years of recent credentialed Risk Adjustment experience.
• Minimum of 2 years of 3M experience.
• Minimum of 2 years of Epic experience.

Responsibilities

• Abstract and code inpatient, outpatient, ED, pro fee and clinical records.
• Assign correct principal/secondary diagnoses and principal/secondary procedures with proper sequencing.
• Utilize DRG/APC reimbursement expertise to assign codes.
• Enter codes into multiple systems and encoders for clients.
• Track and document productivity and maintain 95% quality rating.
• Comply with HIPAA and regulatory requirements.

Skills

Pro-Fee - HCC

Microsoft Excel

3M Systems

Epic

Education

Certified Professional Coder CPC / CCS / RHIT / RHIA / CRC or equivalent

Job description

Omega Healthcare Management Services is seeking a Coder HCC in Boca Raton, FL to review medical records and code diagnoses, procedures, DRG/APC and charges. You will ensure accurate coding for reimbursement and quality reporting while maintaining HIPAA compliance.

The role requires CPC/CCS/RHIT/RHIA/CRC or equivalent, with at least 2 years of risk adjustment, 3M and Epic experience. Competitive benefits and a dynamic team are offered.