Remote HCC / Risk Adjustment Medical Coder

Position Overview

We are looking for experienced Medical Coders specialized in Risk Adjustment and Hierarchical Condition Category (HCC) coding. This remote position requires candidates with a minimum of CPC or CCS certification from AHIMA or AAPC, while higher certifications like CRC are considered a strong asset. The role demands a commitment of at least 20 hours per week, preferably full time at 40 hours, with working hours between 6 AM and 6 PM EST.

Responsibilities

• Review and assign accurate codes to medical records and encounters according to Risk Adjustment and HCC standards.
• Apply coding standards consistent with ICD-10-CM, CMS-HCC, and applicable guidelines.
• Verify the completeness and correctness of coded data to maintain integrity.
• Detect and resolve discrepancies between clinical documentation and coded diagnoses.
• Keep informed on updates in coding regulations and guidelines relevant to Risk Adjustment and HCC.
• Observe compliance and HIPAA regulations to protect patient confidentiality.
• Work collaboratively with healthcare providers and team members to clarify documentation and coding issues.
• Engage in ongoing coding education and professional training.
• Prepare and report on coding metrics, accuracy, and issues.
• Support internal and external audits to uphold coding quality and compliance.
• Identify and propose improvements to coding procedures.
• Contribute ideas to enhance documentation and coding accuracy.

Requirements

• Possession of CPC or CCS certification; CRC certification highly favored. CPC-A not accepted.
• 1 to 2 years experience specifically in Risk Adjustment and HCC coding within healthcare.
• Deep understanding of ICD-10-CM and CMS-HCC risk adjustment methods.
• Experience with electronic health records and coding software.
• Excellent attention to detail and analytical capabilities, with the ability to work independently.
• Strong verbal and written communication skills for effective teamwork and collaboration.
• Knowledge of HIPAA and compliance standards.

Additional Information

This role requires adherence to a Bring Your Own Device (BYOD) policy. Applicants must have a Windows Professional Edition laptop or desktop meeting the security standards; systems running Windows Home Edition are incompatible. A reliable high-speed internet connection is mandatory.

Working hours: Candidates should be available for shifts between 6 AM and 6 PM EST, Monday through Friday.

Pay rate is set at $22 per hour.