Our mission is to improve the healthcare system by ensuring appropriate, quality care and eliminating unnecessary costs.
HCC / Risk Adjustment Medical Coders
Location
United States
Posted
6 days ago
Salary
$22 / hour
Seniority
Mid Level
Job Description
HCC / Risk Adjustment Medical Coders
Advantmed
• Review and accurately code medical records and encounters for diagnoses and procedures related to Risk Adjustment and HCC coding guidelines. • Ensure coding is consistent with ICD-10-CM, CMS-HCC, and other relevant coding guidelines. • Validate and ensure the completeness, accuracy, and integrity of coded data. • Identify and resolve coding discrepancies or discrepancies between clinical documentation and diagnosis coding. • Stay up-to-date with the latest coding guidelines, rules, and regulations related to Risk Adjustment and HCC coding. • Adhere to all compliance and HIPAA regulations to maintain data security and patient confidentiality. • Collaborate with healthcare providers, physicians, and other team members to clarify documentation and resolve coding queries. • Participate in coding education and training programs to enhance coding skills and knowledge. • Prepare and submit reports related to coding activities, coding accuracy, and any coding-related issues or trends. • Assist in internal and external coding audits to ensure the quality and compliance of coding practices. • Identify opportunities for process improvement and efficiency in the coding process. • Offer suggestions to enhance coding documentation and accuracy.
Job Requirements
- Minimum CPC or CCS certification from AHIMA or AAPC is required. Higher-level certifications such as CRC (Certified Risk Adjustment Coder) is a significant advantage. CPC-A (Apprentice) certification will not be considered for this position.
- Minimum one to two years of experience in Risk Adjustment and HCC coding in a healthcare setting.
- Strong knowledge of ICD-10-CM coding guidelines and CMS-HCC risk adjustment methodology.
- Familiarity with electronic health record (EHR) systems and coding software.
- Excellent attention to detail, analytical skills, and ability to work independently.
- Strong communication and interpersonal skills for collaboration with medical professionals and team members.
- Understanding of compliance and confidentiality regulations, including HIPAA.
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HCC / Risk Adjustment Medical Coder
AdvantmedOur mission is to improve the healthcare system by ensuring appropriate, quality care and eliminating unnecessary costs.
Role Description 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 organization. - Review and accurately code medical records and encounters for diagnoses and procedures related to Risk Adjustment and HCC coding guidelines. - Ensure coding is consistent with ICD-10-CM, CMS-HCC, and other relevant coding guidelines. - Validate and ensure the completeness, accuracy, and integrity of coded data. - Identify and resolve coding discrepancies or discrepancies between clinical documentation and diagnosis coding. - Stay up-to-date with the latest coding guidelines, rules, and regulations related to Risk Adjustment and HCC coding. - Adhere to all compliance and HIPAA regulations to maintain data security and patient confidentiality. - Collaborate with healthcare providers, physicians, and other team members to clarify documentation and resolve coding queries. - Participate in coding education and training programs to enhance coding skills and knowledge. - Prepare and submit reports related to coding activities, coding accuracy, and any coding-related issues or trends. - Assist in internal and external coding audits to ensure the quality and compliance of coding practices. - Identify opportunities for process improvement and efficiency in the coding process. - Offer suggestions to enhance coding documentation and accuracy. Qualifications - Minimum CPC or CCS certification from AHIMA or AAPC is required. Higher-level certifications such as CRC (Certified Risk Adjustment Coder) is a significant advantage. CPC-A (Apprentice) certification will not be considered for this position. - Minimum one to two years of experience in Risk Adjustment and HCC coding in a healthcare setting. - Strong knowledge of ICD-10-CM coding guidelines and CMS-HCC risk adjustment methodology. - Familiarity with electronic health record (EHR) systems and coding software. - Excellent attention to detail, analytical skills, and ability to work independently. - Strong communication and interpersonal skills for collaboration with medical professionals and team members. - Understanding of compliance and confidentiality regulations, including HIPAA. Requirements - Applicant should be available to work from 6 AM to 6 PM EST. - Must commit to a minimum of 20 hours per week, Monday through Friday. - Preference for candidates who can commit to a full-time schedule of 40 hours per week. - This position follows a Bring Your Own Device (BYOD) policy. - Candidates must have a Windows-based laptop/desktop with Windows Professional Edition (Windows Pro) and a reliable high-speed internet connection. - Systems running Windows Home Edition are not compatible with the security requirements for this role. Benefits - Pay Rate: $22/hr.
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OmegaFounded in 2003, Omega Healthcare Management Services® (Omega Healthcare) empowers healthcare to thrive via intelligent solutions that optimize revenue cycle operations, administrative workflows, care coordination, and clinical research on a global scale. Works with providers, payers, life science companies, medical device manufacturers, health technology firms, researchers, and industry partners Serves more than 350 healthcare organizations Employs 35,000 skilled workers in the United States, India, Colombia, and the Philippines
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• Temporary/Full-time position with flexible hours given the job requires two evenings per month and some weekends • Collaboratively participate in Revenue and Reimbursement Department professional coding activity • Review and attend to assigned tasks using Hospital patient health information system work queues • Ensure coding accuracy by adhering to medical coding conventions and guidelines • Analyze patient health information records to identify documentation deficiency • Maintain and apply current knowledge about coding systems and tools including Correct Coding Initiative edits, CPT, ICD-10, and HCPCS • Complete continuing education to maintain coding certification


