Remote Risk-Adjustment Medical Coder - HCC & CMS

Insight Global; Saint Petersburg (FL); A distancia; USD 32.000 - 39.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Healthcare insurance

Paid leave

Descripción de la vacante

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

Ideal candidates have strong medical record review experience, coding compliance knowledge, and familiarity with CMS guidelines. This role offers hourly compensation and a benefits package including healthcare insurance

Formación

• Certified coder with ICD-10-CM experience and medical record review background.
• Knowledge of Risk Adjustment and HCC coding methodologies.
• Experience reviewing physician documentation and assigning accurate diagnosis codes.
• Strong understanding of medical terminology, anatomy, physiology, and disease processes.
• Ability to interpret complex clinical documentation with high accuracy and productivity.
• Familiarity with CMS guidelines and Medicare Advantage requirements.

Responsabilidades

• Review medical records, physician documentation, and clinical data to identify reportable diagnoses.
• Assign accurate ICD-10-CM diagnosis codes based on coding guidelines and documentation.
• Identify diagnoses impacting Risk Adjustment and HCC reporting.
• Validate coded diagnoses against clinical evidence and documentation standards.
• Perform prospective and retrospective chart reviews.
• Identify missed, unsupported, or incorrectly coded diagnoses.
• Ensure compliance with CMS, Medicare Advantage, HIPAA, and organizational coding requirements.
• Participate in coding audits and quality assurance initiatives.
• Communicate coding and documentation questions with providers and clinical staff.
• Stay up to date on ICD-10, HCC, and CMS regulatory changes.

Descripción del empleo

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

Ideal candidates have strong medical record review experience, coding compliance knowledge, and familiarity with CMS guidelines. This role offers hourly compensation and a benefits package including healthcare insurance