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HCC Risk Adjustment Coder

Medkoder, LLC

Massachusetts

Remote

USD 60,000 - 100,000

Full time

30+ days ago

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Job summary

Join a forward-thinking company as a Professional HCC Risk Adjustment Coder in a fully remote role. This position offers a unique opportunity to leverage your coding expertise while ensuring compliance with government regulations. You'll be responsible for applying ICD-10-CM coding for risk adjustment-eligible encounters, utilizing advanced coding tools, and maintaining high accuracy standards. With a commitment to professional development and generous benefits, including employer-paid medical, dental, and vision coverage, this innovative firm fosters a supportive environment for its employees. If you're passionate about making a difference in healthcare coding, this role is perfect for you.

Benefits

Generous Paid Time Off
Flexible Scheduling
100% Employer Paid Medical Benefits
401K and Profit Sharing
Paid AAPC and AHIMA Memberships
30 Hours of CEU Pay

Qualifications

  • 3+ years of specialized experience in HCC disciplines required.
  • CPC and CRC certifications are mandatory for this role.
  • Proficient knowledge of ICD-10-CM coding and medical terminology is essential.

Responsibilities

  • Assign accurate ICD-10 codes ensuring compliance with CMS guidelines.
  • Utilize proprietary technology for coding and maintain high accuracy standards.
  • Stay updated with coding standards and regulatory changes to ensure compliance.

Skills

ICD-10-CM Coding
Medical Terminology
Anatomy and Physiology
Communication Skills
Analytical Skills

Education

High School Diploma
Associate or BS Degree
AAPC Certification (CPC, CRC)

Tools

Microsoft Word
Microsoft Excel
Microsoft PowerPoint
Google Suite
Electronic Healthcare Record Systems

Job description

This is a full-time, remote position that offers a flexible schedule.

Description:

MedKoder, LLC is seeking a remote Professional HCC Risk Adjustment Coder who will apply both technical and specialized expertise to help healthcare programs remain compliant with government regulations while identifying opportunities for increased financial success.

The HCC Risk Adjustment Coder provides coding services to health systems and insurance plans utilizing MedKoder’s coding platform. The primary function of this position is to perform ICD-10-CM coding for risk adjustment-eligible encounters. The HCC Risk Adjustment Coder ensures compliance with ICD-10-CM coding guidelines, AMA Coding Clinic guidance, and client-specific requirements. The HCC Risk Adjustment Coder must prioritize daily duties, communicate effectively, and make the decisions necessary to complete all assigned tasks and accomplish their goals.

Responsibilities:

  • Assign accurate ICD-10 codes based on documentation, ensuring compliance with CMS risk adjustment and quality guidelines.
  • Utilizing proprietary technology as a coding tool; including natural language processing, artificial intelligence and encoder software.
  • Review encounters in an assigned work queue maintaining production standards that are in line with the team average. Production may vary depending on the contract.
  • Handle multiple clients with varying coding requirements, maintaining high standards of accuracy and adapting to specific client guidelines.
  • Maintain a minimum of 95% coding accuracy to meet performance expectations and ensure compliance.
  • Identify valid face-to-face encounters.
  • Perform ongoing analysis of medical record charts for the appropriate coding compliance.
  • Stay current with coding standards, risk adjustment methodologies, and CMS regulatory changes to ensure ongoing compliance and optimal coding practices.
  • Attend conference calls as necessary to provide information and/or feedback.
  • Maintain confidentiality and ensure full compliance with HIPAA regulations.

Education/Experience Requirements:

  • High School diploma required. Associate or BS degree preferred.
  • Successful completion of AAPC certified program with the achievement of the correlating professional credential of CPC and CRC is REQUIRED. A CPC-A is not acceptable.
  • Minimum of at least 3 years of specialized experience in HCC disciplines- such as MA, ACA or Medicaid.
  • Must have proficient knowledge of anatomy and physiology, medical terminology, disease processes, ICD-10-CM coding and guidelines and AMA Coding Clinic.
  • Additional skills required: Proficiency with Microsoft Word, Excel, PowerPoint, Windows, and electronic healthcare record information and billing systems.
  • Experience working with Google Suite is preferred but not required.
  • Experience working remotely is preferred but not required.
  • Auditing experience a PLUS.

About MedKoder, LLC:

  • Privately held, growing company with strong values and ethics.
  • Professional development and education.
  • All positions are permanent – no contracts or sitting on a “coding bench.”
  • Generous paid time off, holiday pay, and flexible scheduling year-round.
  • Internal network of Medical Coding Industry Leaders – CEO is a Certified Coder with 20+ years of experience.
  • Up to 100% EMPLOYER PAID Medical, Dental, and Vision benefits for employees.
  • 401K and Profit Sharing.
  • STD, LTD, Life Insurance, and FSA Program.
  • Paid AAPC and AHIMA corporate memberships.
  • 30 Hours of CEU pay (continuance in education).
  • MedKoder recognized by Modern Healthcare as Best Place to Work.
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