HCC Risk Adjustment Coder
Position Location: 100% Remote
This is a full-time, remote position that offers a flexible schedule.
Description:
MedKoder, LLC is seeking a remote Professional HCC Risk Adjustment Coder who will apply both technical and specialized expertise to help healthcare programs remain compliant with government regulations while identifying opportunities for increased financial success.
The HCC Risk Adjustment Coder provides coding services to health systems and insurance plans utilizing MedKoder’s coding platform. The primary function of this position is to perform ICD-10-CM coding for risk adjustment-eligible encounters. The HCC Risk Adjustment Coder ensures compliance with ICD-10-CM coding guidelines, AMA Coding Clinic guidance, and client-specific requirements. The HCC Risk Adjustment Coder must prioritize daily duties, communicate effectively, and make the decisions necessary to complete all assigned tasks and accomplish their goals.
Responsibilities:
- Assign accurate ICD-10 codes based on documentation, ensuring compliance with CMS risk adjustment and quality guidelines.
- Utilizing proprietary technology as a coding tool; including natural language processing, artificial intelligence and encoder software.
- Review encounters in an assigned work queue maintaining production standards that are in line with the team average. Production may vary depending on the contract.
- Handle multiple clients with varying coding requirements, maintaining high standards of accuracy and adapting to specific client guidelines.
- Maintain a minimum of 95% coding accuracy to meet performance expectations and ensure compliance.
- Identify valid face-to-face encounters
- Perform ongoing analysis of medical record charts for the appropriate coding compliance
- Stay current with coding standards, risk adjustment methodologies, and CMS regulatory changes to ensure ongoing compliance and optimal coding practices.
- Attend conference calls as necessary to provide information and/or feedback.
- ️Maintain confidentiality and ensure full compliance with HIPAA regulations.
Education/Experience Requirements:
- High School diploma required. Associate or BS degree preferred.
- Successful completion of AAPC certified program with the achievement of the correlating professional credential of CPC and CRC is REQUIRED. A CPC-A is not acceptable.
- Minimum of at least 3 year of specialized experience in HCC disciplines- such as MA, ACA or Medicaid.
- Must have proficient knowledge of anatomy and physiology, medical terminology, disease processes, ICD-10-CM coding and guidelines and AMA Coding Clinic.
- Additional skills required: Proficiency with Microsoft Word, Excel, PowerPoint, Windows, and electronic healthcare record information and billing systems.
- Experience working with Google Suite is preferred but not required.
- Experience working remotely is preferred but not required.
- Auditing experience a PLUS.
About MedKoder, LLC:
- Privately held, growing company with strong values and ethics
- Professional development and education
- All positions are permanent – no contracts or sitting on a “coding bench”
- Generous paid time off, holiday pay, and flexible scheduling year-round
- Internal network of Medical Coding Industry Leaders – CEO is a Certified Coder with 20+ years of experience
- Up to 100% EMPLOYER PAID Medical, Dental, and Vision benefits for employees
- 401K and Profit Sharing
- STD, LTD, Life Insurance, and FSA Program
- Paid AAPC and AHIMA corporate memberships
- 30 Hours of CEU pay (continuance in education)
- MedKoder recognized by Modern Healthcare as Best Place to Work