Remote HCC Risk Adjustment Auditor — Part-Time Coder

Pinnacle Healthcare Consulting Llc; United States; Remote; USD 34,000 - 55,000; Part time

Benefits offered by this job

Paid training

Remote work from home

Job summary

Pinnacle Enterprise Risk Consulting Services is seeking a REMOTE Risk Adjustment and Professional-Fee (Physician) Reviewer/Auditor/Coder for as-needed/part-time hours on a 1099 basis. The role supports Medicare risk adjustment coding with focus on CPT/HCPCS, ICD codes, and modifiers.

Training is provided and remote work from home is required. The ideal candidate has 3+ years of coding experience across specialties, at least one year in Medicare Risk Adjustment, and holds an active AHIMA or AAPC

Qualifications

• Active certified coder through AHIMA or AAPC.
• Minimum 3 years coding experience in multiple specialties.
• At least 1 year of Medicare Risk Adjustment experience.

Responsibilities

• Review medical records via PDF or EMR system.
• Abstract and assign CPT/HCPCS, ICD, modifiers.
• Research and resolve coding projects assigned.
• Document requested information from medical records.
• Ensure encounters are valid with legible signatures.
• Identify valid face-to-face encounters.
• Monitor coding compliance per payor guidelines.
• Meet daily production and 95% accuracy targets.
• Attend conference calls as needed.

Skills

Attention to detail

Analytical skills

Problem-solving

Excel and Word proficiency

Written and verbal communication

MEAT knowledge (medical evaluation/ass

Education

High School diploma

College degree preferred

Active coder certification (CRC, CPC, CPMA, CCS-P)

Tools

MS Windows

MS Office

Internet

Microsoft Access

Job description

Pinnacle Enterprise Risk Consulting Services is seeking a REMOTE Risk Adjustment and Professional-Fee (Physician) Reviewer/Auditor/Coder for as-needed/part-time hours on a 1099 basis. The role supports Medicare risk adjustment coding with focus on CPT/HCPCS, ICD codes, and modifiers.

Training is provided and remote work from home is required. The ideal candidate has 3+ years of coding experience across specialties, at least one year in Medicare Risk Adjustment, and holds an active AHIMA or AAPC