HCC Coding Specialist (Remote)

Optima Medical Ltd; Arizona; Hybrid; USD 48,000 - 64,000; Full time

Benefits offered by this job

Leadership mentoring

Supportive work culture

Job summary

Optima Medical is seeking a Medical Coding Specialist in Arizona. The role begins onsite for 30 days at our Scottsdale office and transitions to a fully remote position afterward.

Candidates must reside in Arizona and have at least 1 year of risk adjustment coding experience and a CPC or CRC certification through AAPC or AHIMA. Responsibilities include ICD-10-CM coding for HCC risk adjustment, identifying documentation improvements, and staying current with CMS guidelines while meeting

Qualifications

• Minimum 1 year of coding experience in Risk Adjustment; 2 years preferred.
• Coding certification through AAPC or AHIMA (CPC, CRC); CPC-A or CCA not accepted.
• Ability to maintain a high level of accuracy in a fast-paced production environment.
• High school diploma or equivalent.
• Proficiency in Microsoft Outlook, Word, and Excel.
• Must live in Arizona.

Responsibilities

• Perform code abstraction of medical records, diagnostic imaging, etc. to ensure ICD-10-CM codes are accurately assigned and supported by clinical documentation.
• Identify diagnosis and chart level impairments and documentation improvement opportunities for provider education.
• Assist by making recommendations for process improvements to further enhance coding goals and outcomes.
• Maintain current knowledge of ICD-10-CM codes, CMS documentation requirements, and state and federal regulations.
• Meet minimum productivity requirements as outlined by the project terms.
• Handle other related duties as required or assigned

Skills

Risk adjustment coding

Communication skills

Independent worker

Education

High school diploma or equivalent

AAPC/AHIMA certification (CPC/CRC)

Tools

Microsoft Outlook

Microsoft Word

Microsoft Excel

Job description

Optima Medical is an Arizona-based medical group consisting of 30 locations and 130+ medical providers, who care for more than 200,000 patients statewide. Our mission is to improve the quality of life throughout Arizona and Nevada by helping communities "Live Better, Live Longer" through personalized healthcare, with a focus on preventing the nation's top leading causes of death. We go beyond primary care with a full spectrum of services including cardiovascular health services, behavioral health, allergy testing and immunotherapy, in-house lab testing, imaging, chronic disease management, and other specialty health services. We aspire to aid the growth of our company by welcoming the most qualified and dedicated professionals aboard. We are currently seeking a Medical Coding Specialist to join our team!

This role will transition to a fully remote position after your first 30 days. To be eligible, you'll need to complete your initial 30 days onsite at our Scottsdale office and remain in good standing. Must reside in Arizona!

Job Responsibilities:

• Perform code abstraction of medical records, diagnostic imaging, etc. to ensure ICD-10-CM codes to identify diagnoses relevant for HCC risk adjustment are accurately assigned and supported by clinical documentation
• Identify diagnosis and chart level impairments and documentation improvement opportunities for provider education.
• Assist by making recommendations for process improvements to further enhance coding goals and outcomes.
• Maintain current knowledge of ICD-10-CM codes, CMS documentation requirements, and state and federal regulations.
• Meet minimum productivity requirements as outlined by the project terms.
• Handle other related duties as required or assigned

Job Qualifications:

• Minimum of 1 year of coding experience in Risk Adjustment. (2 years preferred)
• Must have a coding certification through AAPC or AHIMA (CPC, CRC, etc.), NO CPC-A or CCA
• Ability to consistently maintain a high level of accuracy working in a fast-paced production environment.
• High school diploma or equivalent.
• High level of competency in Microsoft Outlook, Word, and Excel.
• Strong written and verbal communication skills.
• Works independently under regular supervision.
• Must live in Arizona.

Why Join Our Team?

• Leadership and mentoring.
• Supportive and positive work culture