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Commission Remote Hcc Coders Jobs (NOW HIRING)

Mercor

HCC Coding Leader - Risk Adjustment

New York, NY · Remote

$110/hr

Remote Role Responsibilities * Lead risk adjustment and HCC coding operations across Medicare Advantage , Medicaid , and ACA risk adjustment programs. * Evaluate AI-generated HCC coding assignments ...

Vertek Staffing

HCC Risk Adjustment Coder

Franklin, TN · Remote

$18 - $24/hr

HCC / Risk Adjustment Coder - Remote Risk Adjustment / HCC Coding Experience Required Required Education * High School Diploma required with submission Required Certifications Online certification ...

Virtix Health LLC

HCC Coding Quality Specialist

Remote within US only The ideal candidate will have at least 2 years of recent HCC Auditing experience in addition to 3 years of recent HCC/RA coding experience. You will be auditing the global team ...

Virtix Health LLC

HCC Coding Quality Specialist

Remote within US only The ideal candidate will have at least 2 years of recent HCC Auditing experience in addition to 3 years of recent HCC/RA coding experience. You will be auditing the global team ...

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Remote - HCC / Risk Adjustment Medical Coders (6598)

Advantmed

Remote

$22/hr

Full-time

Posted 25 days ago

Job description

Job Title: HCC / Risk Adjustment Medical Coder
Location: Remote, US
Shift Hours: Applicant should be available to work from 6 AM to 6 PM EST.
Pay Rate: $22/hr.
Candidates must be available to commit to a minimum of 20 hours per week, Monday through Friday. Preference will be given to candidates who can commit to a full-time schedule of 40 hours per week.
Important: This position follows a Bring Your Own Device (BYOD) policy. Candidates must have a Windows-based laptop/desktop with Windows Professional Edition (Windows Pro) and a reliable high-speed internet connection. Systems running Windows Home Edition are not compatible with the security requirements for this role.
Job Summary: We are seeking experienced Medical Coders with a strong background in Risk Adjustment and Hierarchical Condition Category (HCC) coding. The ideal candidate will hold at least a CPC or CCS certification from AHIMA or AAPC, and higher-level certifications are highly desirable. As a Medical Coder specializing in Risk Adjustment/HCC, you will play a crucial role in ensuring accurate and compliant coding for our healthcare organization.
Key Responsibilities:
  • Review and accurately code medical records and encounters for diagnoses and procedures related to Risk Adjustment and HCC coding guidelines.
  • Ensure coding is consistent with ICD-10-CM, CMS-HCC, and other relevant coding guidelines.
  • Validate and ensure the completeness, accuracy, and integrity of coded data.
  • Identify and resolve coding discrepancies or discrepancies between clinical documentation and diagnosis coding.
  • Stay up-to-date with the latest coding guidelines, rules, and regulations related to Risk Adjustment and HCC coding.
  • Adhere to all compliance and HIPAA regulations to maintain data security and patient confidentiality.
  • Collaborate with healthcare providers, physicians, and other team members to clarify documentation and resolve coding queries.
  • Participate in coding education and training programs to enhance coding skills and knowledge.
  • Prepare and submit reports related to coding activities, coding accuracy, and any coding-related issues or trends.
  • Assist in internal and external coding audits to ensure the quality and compliance of coding practices.
  • Identify opportunities for process improvement and efficiency in the coding process.
  • Offer suggestions to enhance coding documentation and accuracy.

Requirements
Qualifications:
  • Minimum CPC or CCS certification from AHIMA or AAPC is required. Higher-level certifications such as CRC (Certified Risk Adjustment Coder) is a significant advantage. CPC-A (Apprentice) certification will not be considered for this position.
  • Minimum one to two years of experience in Risk Adjustment and HCC coding in a healthcare setting.
  • Strong knowledge of ICD-10-CM coding guidelines and CMS-HCC risk adjustment methodology.
  • Familiarity with electronic health record (EHR) systems and coding software.
  • Excellent attention to detail, analytical skills, and ability to work independently.
  • Strong communication and interpersonal skills for collaboration with medical professionals and team members.
  • Understanding of compliance and confidentiality regulations, including HIPAA.

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