Remote Risk-Adjustment Medical Coder (HCC)

Insight Global; Fort Lauderdale (FL); Remote; USD 32.000 - 39.000; Vollzeit

Benefits dieser Stelle

Healthcare insurance

Paid leave

Zusammenfassung

Insight Global is seeking Medical Coders specializing in Risk Adjustment Coding for a leading healthcare client in the United States. These professionals will review medical records to assign ICD-10-CM codes that support risk adjustment and HCC reporting.

Ideal candidates have strong medical record review, coding compliance, and CMS guidelines experience, ensuring diagnoses are supported by clinical evidence. Medicare Advantage and HCC coding experience are highly valued.

Qualifikationen

• Certified coder with ICD-10-CM experience
• Experience with Risk Adjustment and HCC coding
• Experience reviewing physician documentation and assigning codes
• Strong medical terminology knowledge
• Ability to interpret complex clinical documentation accurately
• Familiarity with CMS guidelines and Medicare Advantage requirements

Aufgaben

• Review medical records and clinical data to identify reportable diagnoses
• Assign accurate ICD-10-CM codes based on documentation
• Identify diagnoses affecting Risk Adjustment and HCC reporting
• Validate coded diagnoses against clinical evidence
• Conduct prospective and retrospective chart reviews
• Ensure compliance with CMS, HIPAA, and coding requirements
• Participate in coding audits and quality initiatives
• Communicate coding questions with providers and staff
• Stay current on ICD-10, HCC, and CMS changes

Jobbeschreibung

Insight Global is seeking Medical Coders specializing in Risk Adjustment Coding for a leading healthcare client in the United States. These professionals will review medical records to assign ICD-10-CM codes that support risk adjustment and HCC reporting.

Ideal candidates have strong medical record review, coding compliance, and CMS guidelines experience, ensuring diagnoses are supported by clinical evidence. Medicare Advantage and HCC coding experience are highly valued.