Remote HCC & ProFee Coding Expert

Dahl Consulting

California (MO)

Hybrid

USD 39,000 - 44,000

Part time

3 days ago
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Benefits offered by this job

Medical, dental, and vision insurance
401(k) with company match
Phone and internet stipend
Remote work environment

Job summary

Dahl Consulting is seeking an experienced HCC & ProFee Coder for a remote contract-to-hire opportunity in the Hospital & Healthcare sector. The role demands expertise in CMS HCC, Rx HCC, ICD-10-CM, and Medicare coding guidelines to validate records and support risk adjustment initiatives.

The candidate will review medical records, ensure coding compliance, and collaborate with providers and project leadership. AAPC/AHIMA credentials and 5+ years of HCC coding experience are preferred.

Qualifications

  • Current AAPC or AHIMA credential (CPC/COC/CCS-P).
  • Minimum 5 years of HCC-specific coding experience.
  • Extensive experience with ICD-10-CM, CMS HCC risk adjustment, Rx HCC, CPT Category II coding, and Medicare AWV coding.
  • Strong knowledge of CMS/HHS HCC hierarchies and risk adjustment models.
  • Experience with coding audit software and EMR systems.

Responsibilities

  • Review and validate diagnosis codes to ensure documentation supports coding and guidelines.
  • Verify coding accuracy per project requirements and documentation.
  • Perform CMS HCC risk adjustment code validation and data abstraction review.
  • Perform Rx HCC risk adjustment code validation and data abstraction review.
  • Review CPT Category II codes and supporting documentation for accuracy.
  • Document time worked and complete administrative tasks with accuracy.

Skills

HCC coding
CPC/COC/CCS-P
Auditing
Excel
EMR systems
Communication

Education

AAPC or AHIMA credential

Tools

EMR systems
Excel
Word

Job description

Dahl Consulting is seeking an experienced HCC & ProFee Coder for a remote contract-to-hire opportunity in the Hospital & Healthcare sector. The role demands expertise in CMS HCC, Rx HCC, ICD-10-CM, and Medicare coding guidelines to validate records and support risk adjustment initiatives.

The candidate will review medical records, ensure coding compliance, and collaborate with providers and project leadership. AAPC/AHIMA credentials and 5+ years of HCC coding experience are preferred.

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