Remote Risk-Adjustment Medical Coder ICD-10/HCC Expert

Jobrapido; Mesa (AZ); A distancia; USD 32.000 - 39.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Healthcare insurance offerings

Paid leave

Descripción de la vacante

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

Ideal candidates will have strong experience with medical record review, coding compliance, and CMS guidelines, ensuring all diagnoses are fully supported by clinical evidence.

Formación

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

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.

Conocimientos

Certified coder

ICD-10-CM coding

Medical record review

HCC risk adjustment knowledge

CMS guidelines familiarity

Interpretation of clinical docs

Herramientas

EMRs

coding software platforms

Descripción del empleo

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

Ideal candidates will have strong experience with medical record review, coding compliance, and CMS guidelines, ensuring all diagnoses are fully supported by clinical evidence.