Remote Medical Coder - Risk Adjustment & ICD-10

Wellsense-Health-Plan; Massachusetts; Hybrid; USD 30,000 - 44,000; Full time

Benefits offered by this job

Full-time remote work

Competitive salaries

Excellent benefits

Job summary

WellSense Health Plan is seeking a Coder to manage chart abstraction, vendor auditing and reporting in line with state and federal regulations. You will abstract from in-patient and out-patient records and document findings in electronic databases or spreadsheets.

The role requires up-to-date ICD-10-CM knowledge, CMS guidelines, and independence in a remote environment. Minimum 5 years in coding, with at least 3 in Risk Adjustment; CPC certification is required.

Qualifications

• CPC Certification required and current credentials.
• Minimum 5 years coding experience, with at least 3 years in Risk Adjustment.
• Strong organizational and written communication skills.
• Proficient with MS Excel and MS Outlook, and able to work remotely.

Responsibilities

• Perform code abstraction and coding quality audits to ensure ICD-10-CM codes are accurately assigned and supported by clinical documentation.
• Code government and state models; manage
• Maintain current knowledge of ICD-10-CM codes, CMS requirements, and regulations.
• Maintain a 95% accuracy rate on coding projects.
• Assist with code abstraction and coding audits following Official Coding Guidelines.

Skills

CPC Certification

Remote work independence

Attention to detail

Communication skills

Risk Adjustment coding

Education

CPC Certification

Tools

Microsoft Excel

Microsoft Outlook

Job description

WellSense Health Plan is seeking a Coder to manage chart abstraction, vendor auditing and reporting in line with state and federal regulations. You will abstract from in-patient and out-patient records and document findings in electronic databases or spreadsheets.

The role requires up-to-date ICD-10-CM knowledge, CMS guidelines, and independence in a remote environment. Minimum 5 years in coding, with at least 3 in Risk Adjustment; CPC certification is required.