Job Title{{:}} Medical Code
rLocation{{:}} Remote,
USShift Hours{{:}} The applicant should be available to work from 6 AM to 6 PM C
ST.Pay Rate{{:}} $22/hr. + Productivity B
- o
- nus The candidate must be available to consistently commit to 40 hours per week, from Monday to Fri
- day Applicants are required to possess a Windows-operated laptop/desktop with video capabilities and high-speed internet connectiv
i
ty Job Summary{{:}} We are seeking experienced Medical Coders with a strong background in Risk Adjustment and Hierarchical Condition Category (HCC) coding. The ideal candidate will hold at least a CPC or CCS certification from AHIMA or AAPC, and higher-level certifications are highly desirable. As a Medical Coder specializing in Risk Adjustment/HCC, you will play a crucial role in ensuring accurate and compliant coding for our healthcare organiza
t
ion. Key Responsibilities
- {
- {:}} Review and accurately code medical records and encounters for diagnoses and procedures related to Risk Adjustment and HCC coding guide
- lines Ensure coding is consistent with ICD-10-CM, CMS-HCC, and other relevant coding guide
- lines Validate and ensure the completeness, accuracy, and integrity of coded
- data Identify and resolve coding discrepancies or discrepancies between clinical documentation and diagnosis c
- oding Stay up-to-date with the latest coding guidelines, rules, and regulations related to Risk Adjustment and HCC c
- oding Adhere to all compliance and HIPAA regulations to maintain data security and patient confidenti
- ality Collaborate with healthcare providers, physicians, and other team members to clarify documentation and resolve coding qu
- eries Participate in coding education and training programs to enhance coding skills and know
- ledge Prepare and submit reports related to coding activities, coding accuracy, and any coding-related issues or t
- rends Assist in internal and external coding audits to ensure the quality and compliance of coding prac
- tices Identify opportunities for process improvement and efficiency in the coding pr
- ocess Offer suggestions to enhance coding documentation and acc
uracy Requir
ementsQualification
- s
- {{:}} Minimum CPC or CCS certification from AHIMA or AAPC is required. Higher-level certifications such as CRC (Certified Risk Adjustment Coder) is a significant adv
- antage Minimum two years of experience in Risk Adjustment and HCC coding in a healthcare s
- etting Strong knowledge of ICD-10-CM coding guidelines and CMS-HCC risk adjustment metho
- dology Familiarity with electronic health record (EHR) systems and coding so
- ftware Excellent attention to detail, analytical skills, and ability to work indepen
- dently Strong communication and interpersonal skills for collaboration with medical professionals and team m
- embers Understanding of compliance and confidentiality regulations, includin
g HIPAA
