Immediate need for a talented Risk Adjustment Coder. This is a 12 Months Contract opportunity with long-term potential and is US (Remote). Please review the job description below and contact me ASAP if you are interested.
Job Diva ID: 26-07621
Pay Range: $22.00 - $28.00/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location).
Key Responsibilities:
- Review and code inpatient and outpatient medical records using ICD-9 and ICD-10 guidelines
- Ensure coding accuracy for CMS Risk Adjustment and HCC models
- Participate in RADV audit reviews, validating diagnosis codes using medical documentation
- Conduct forensic review of past audits to support the HCC Trend Tracker project
- Serve as a Coding Liaison for third-pass audit reviews
- Perform quality assurance checks on submission packages before submission to government agencies
- Maintain compliance with CMS and official coding guidelines
- Defend coding decisions during internal and external audits
- Collaborate with team members to ensure accuracy and meet productivity targets
Key Requirements and Technology Experience:
- Key Skills; Minimum 5 years of experience with risk adjustment coding
- Must have CPC or CRC
- 5 years of Risk Adjustment Coding experience
- Active Certified Professional Coder (CPC) certification
- Active Certified Risk Adjustment Coder (CRC) certification
- Experience with ICD-9 / ICD-10 coding and CMS risk adjustment guidelines
- Strong communication skills
- Proficiency in Microsoft Excel
- Certified Coding Specialist (CCS) certification
- Background as a Nurse or Medical Assistant
- Experience working in healthcare payer or hospital coding environments
- Associates or Bachelors degree
Our client is a leading Healthcare industry , and we are currently interviewing to fill this and other similar contract positions. If you are interested in this position, please apply online for immediate consideration
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