Risk Adjustment Coding Specialist - Remote

Overview

Employer Industry: Healthcare Services

Why consider this job opportunity:

• Competitive compensation and benefits packages including medical, dental, and vision with coverage starting on day one
• Retirement savings account with employer match starting on day one
• Generous paid time off programs
• Tuition/professional development reimbursement starting on day one
• Opportunity to join Diversity, Equity, and Inclusion Colleague Resource Groups
• Daily Pay option available for eligible employees to access earnings before payday

• Review and evaluate patient medical records to determine the level of Evaluation and Management (E/M) service and accurately assign and sequence CPT, modifiers, and ICD-10 codes
• Identify and assign appropriate ICD-10-CM codes that map to Hierarchical Condition Categories (HCCs)
• Ensure documentation meets MEAT and/or TAMPER criteria to support the presence and management of chronic conditions
• Collaborate with providers to clarify documentation and educate on risk adjustment coding best practices
• Conduct retrospective and prospective coding reviews to identify missed or undocumented HCCs

• High School Diploma or Equivalent required
• Minimum of two years of experience in medical coding and billing required
• Certified Risk Adjustment Coder certification within one year of hire required
• Understanding of various medical claims formats and working knowledge in medical terminology, CPT, and ICD-10 coding
• Expanded knowledge of Risk Adjustment and HCC coding

• Active and up-to-date CPC certification preferred
• Knowledge of payer contracts and reimbursement

#Healthcare #Medical Coding #Risk Adjustment #Career Opportunity #Competitive Benefits

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