Risk Adjustment Coder

Immediate need for a talented Risk Adjustment Coder. This is a 06+months Contract to Permanent opportunity with long-term potential and is located in US(Remote). Please review the job description below and contact me ASAP if you are interested.

Job ID: 25-77724

Pay Range: $21 - $22/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:

• Shifts: 7 AM - 3:30 PM EST
• As a part of our hiring process, along with an option to directly connect with a Recruiter or apply online, we now offer a texting option to enhance your candidate experience. Click the link below which contains the job description and a few basic questions that will help you ensure this is a good fit and expedite the shortlisting process or you can directly email me.
• Codes, abstracts, and analyzes inpatient and/or outpatient medical records using International Classification of Diseases, Tenth Revision (ICD-10). Always coding to the highest level of specificity.
• Code in multiple lines of business such as Marketplace (ACA) and Medicare Advantage
• Follows the Official ICD-10 guidelines for Coding and Reporting and has a complete understanding of these guidelines
• Follows CMS risk adjustment guidelines and has a complete understanding of these guidelines
• Understands the impact of ICD-10 codes on the CMS HCC risk adjustment model
• Ability to meet productivity and accuracy standard
• Ability to defend coding decisions to both internal and external audits

Key Requirements and Technology Experience:

• Key Skills; Minimum 2 years in Risk Adjustment production coding
• Certification: CPC
• Production Coding 2 years
• MS Applications (Excel, MS, Outlook, Access, Teams) Intermediate level
• CPC or CCS
• 2 years of medical coding experience, risk adjustment knowledge is preferred
• Tech savvy Knowledge of computer basics. Comfortable utilizing Microsoft 365 (Word, Excel, Teams, Outlook)
• Ability to navigate through the ICD-10-CM codebook
• Codes, abstracts and analyzes inpatient and/or outpatient medical records using International Classification of Diseases, Tenth Revision (ICD-10). Always coding to the highest level of specificity.
• Follows the Official ICD-10 guidelines for Coding and Reporting and has a complete understanding of these guidelines.
• Ability to meet productivity and accuracy standards
• HS Diploma & Certification

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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