HCC Risk Adjustment Coder Certified

Ascension Health; Glendale (WI); Remote; USD 31,000 - 56,000; Full time

Benefits offered by this job

Comprehensive health coverage

Employer-matched 403(b)

Paid time off & holidays

Tuition reimbursement & development

Employee Assistance Program

Parental leave & family benefits

Job summary

Ascension Health is seeking a Remote Medical Coder to join our Revenue Cycle Management team. You will assign ICD-10, CPT, and HCC codes for complex cases, and collaborate with physicians to clarify documentation while adhering to AHIMA guidelines.

The ideal candidate has 3+ years of direct coding experience and holds CCS, CPC, or Cardiac credentials. Epic experience and RHIT/RHIT-like credentials are a plus as we support ongoing education and career growth.

Qualifications

• 3+ years of direct coding experience required.
• Experience with ICD-10, CMS guidelines and HCC/risk adjustment preferred.
• Ability to query physicians and educate staff on documentation.

Responsibilities

• Assign ICD, CPT, and HCC codes for complex cases.
• Query physicians to clarify documentation and educate physicians and associates.
• Conduct internal coding audits in line with AHIMA standards.

Skills

ICD-10 knowledge

CMS guidelines

HCC/Risk Adjustment

Complex coding

Auditing

Education

CCS credential (AHIMA)

CPC credential (AAPC)

Cardiac credential (AAPC)

Reg Health Info Admin credential (AHIMA)

Reg Health Info Tech credential (AHIMA)

Tools

Epic

Job description

Your future role at a glance

• Location: Remote
• Department : Revenue Cycle Management
• Schedule : Full-time | Day Shift

#Nextgenheatlhcare

How you’ll make an impact in this role

• Assign accurate ICD, CPT, and HCC codes to handle complex cases.
• Query & Collaborate: Query physicians to clarify ambiguous, incomplete, or unclear record documentation, and provide appropriate education to physicians and associates.
• Conduct internal coding and physician documentation audits while maintaining strict adherence to AHIMA's Standards of Ethical Coding and official guidelines.
• Strong knowledge of ICD-10, CMS guidelines and HCC/ Risk Adjustment and complex coding
• CPC, CCS-P or CRC required with at least 3 years of direct coding experience

What minimum requirements you’ll need

Licensure / Certification / Registration

• Required Credential(s):
• One or more of the following:
• Certified Coding Specialist (CCS) credentialed from the American Health Information Management Association (AHIMA) obtained prior to hire date or job transfer date. Any specialty is acceptable.
• Certified Professional Coder (CPC) credentialed from the American Academy of Professional Coders (AAPC) obtained prior to hire date or job transfer date. Any specialty is acceptable.
• Coder specializing in Cardiac credentialed from the American Academy of Professional Coders (AAPC) obtained prior to hire date or job transfer date.
• Reg Health Info Admnstr credentialed from the American Health Information Management Association (AHIMA) obtained prior to hire date or job transfer date.
• Reg Health Info Tech credentialed from the American Health Information Management Association (AHIMA) obtained prior to hire date or job transfer date.

Education

• High School diploma equivalency OR 1 year of applicable cumulative job specific experience required. *Note: Required professional licensure/certification can be used in lieu of education or experience, if applicable.

Additional Preferences:

• Epic
• Chronic conditions
• RHIT

Benefits that help you thrive

• Comprehensive health coverage: medical, dental, vision, prescription coverage and HSA/FSA options
• Financial security & retirement: employer-matched 403(b), planning and hardship resources, disability and life insurance
• Time to recharge: pro-rated paid time off (PTO) and holidays
• Career growth: Ascension-paid tuition (Vocare), reimbursement, ongoing professional development and online learning
• Emotional well-being: Employee Assistance Program, counseling and peer support, spiritual care and stress management resources
• Family support: parental leave, adoption assistance and family benefits
• Other benefits: optional legal and pet insurance, transportation savings and more

Life at Ascension: Where purpose meets opportunity

Ascension is a leading nonprofit Catholic health system with a culture and associate experience grounded in service, growth, care and connection. We empower our 99,000+ associates to bring their skills and expertise every day to reimagining healthcare, together. Recognized as one of the Best 150+ Places to Work in Healthcare and a Military-Friendly Gold Employer, you'll find an inclusive and supportive environment where your contributions truly matter.

Equal employment opportunity employer

Ascension provides Equal Employment Opportunities (EEO) to all associates and applicants for employment without regard to race, color, religion, sex/gender, sexual orientation, gender identity or expression, pregnancy, childbirth, and related medical conditions, lactation, breastfeeding, national origin, citizenship, age, disability, genetic information, veteran status, marital status, all as defined by applicable law, and any other legally protected status or characteristic in accordance with applicable federal, state and local laws. For further information, view the EEO Know Your Rights (English) (https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12.pdf) poster or EEO Know Your Rights (Spanish) (https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRightsSp6.12.pdf) poster.

Min Salary: 22.38

Max Salary 40.37