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Contractual Remote Hcc Coder Jobs in Florida (NOW HIRING)

Lee Health

Coder I - E/M

Cape Coral, FL · Remote

$20 - $25.45/hr

Remote - Florida Department: Coding Work Type: Full Time Shift: Shift 1/8:00:00AM to 4:30:00PM ... Responsible for Diagnostic, HCC, Retrospective Coding, Documentation Quality Assurance, and ...

Lee Health

Coder I - E/M

Cape Coral, FL · Remote

$20 - $25.45/hr

Remote - Florida Department: Coding Work Type: Full Time Shift: Shift 1/8:00:00 AM to 4:30:00 PM ... Responsible for Diagnostic, HCC, Retrospective Coding, Documentation Quality Assurance, and ...

NCH

Coding Specialist Business Office

Naples, FL · Remote

Remote - Full Time * WORK SCHEDULE: 8 Hour Day ABOUT NCH NCH is an independent, locally governed ... contractual updates that affect reimbursement. • Associate may review patient accounts as ...

Imagenet

Claims Examiner - Remote

Tampa, FL · Remote

... guidelines, contractual agreements, regulatory requirements, and internal policies ... Review and adjudicate medical claims, ensuring accurate coding, data entry, and application of ...

Imagenet

Claims Examiner - Remote

Tampa, FL · Remote

... guidelines, contractual agreements, regulatory requirements, and internal policies ... Review and adjudicate medical claims, ensuring accurate coding, data entry, and application of ...

L3HHCM20

Specialist, Procurement

Tallahassee, FL · Remote

$79K - $147K/yr

Specialist, Procurement (Remote) Job Code: 42915 Job Location: Remote Opportunity Job Schedule : 9 ... and contractual requirements. * Resolves supplier-related issues involving shortages, damages ...

L3HHCM20

Specialist, Subcontracts

Tallahassee, FL · Remote

$73K - $135K/yr

Specialist, Subcontracts (Remote) Job Code: 42913 Job Location: Remote Opportunity Job Schedule : 9 ... contractual, regulatory, and business requirements. Working under general supervision, this ...

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Contractual Remote Hcc Coder information

What is the difference between Contractual Remote Hcc Coder vs Medical Coder?

AspectContractual Remote Hcc Coder
CertificationsAHIMA or AAPC certifications, HCC coding credentials
Work EnvironmentRemote, contractual basis, independent contractor setup
Employer & Industry UsageHealth plans, insurance companies, healthcare providers
Job FocusRisk adjustment coding, Hierarchical Condition Categories (HCC)

Contractual Remote Hcc Coders specialize in risk adjustment coding for health plans, working remotely on a contractual basis. Medical Coders have a broader scope, including facility and outpatient coding across various healthcare settings. While both roles require coding certifications, Contractual Remote Hcc Coders focus on HCC-specific knowledge, making their work environment and employer types more specialized. Understanding these differences helps job seekers find roles aligned with their skills and career goals.

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The most popular types of Remote Hcc Coder jobs in Florida are:

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Contractual Remote Hcc Coder jobs near you

HCC Risk Coder (CDIS) - Remote in FL

Pathways Health Partners

Leesburg, FL • Remote

$16.75 - $22.25/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 23 days ago

Job description

Description
Welcome to Pathways Health Partners, the Accountable Care Organization (ACO) that's leading the charge in helping independent providers transition to Value-Based Care.
What We Do:
Medicare REACH ACO: We're at the forefront of Medicare innovation.
Medicare Advantage MSO: Providing top-notch services to our Medicare Advantage patients.
Commercial MSO: Managing care for approximately 16,000 patients across North-West/Central Florida.
Where We Operate: From The Villages to St. Petersburg, and across to Mount Dora, we've got you covered!
Our Services:
Hospital Medicine Group: Delivering exceptional care in hospitals.
Affiliated Medical Practices: Managing several top-tier medical practices.
Insurance Agency: Offering comprehensive insurance solutions.
Join us on our journey to better health and value-based care!
Job Summary
The HCC Risk Coder plays a vital role in coordinating and supporting retrospective and concurrent chart reviews while providing education and facilitating chart retrieval for Health Plan audits and reports. This position requires a comprehensive understanding of Hierarchical Condition Categories (HCC) coding to accurately translate, input, extract, and validate medical record data.
Position Responsibilities:
• Review and assess documentation to accurately translate chronic conditions into the appropriate diagnosis codes from outpatient medical records.
• Extract data for Health Plan reports and input data collected from HCC programs.
• Assist in obtaining medical records from Providers to support audits requested by Health Plans.
• Help coordinate training sessions for Physicians and staff on relevant coding guidelines and compliance standards.
• Review provider documentation to verify that HCC codes are accurate and meet required documentation guidelines.
• Assign appropriate ICD-10-CM codes that map to risk adjustment models and identify documentation discrepancies, querying providers for clarity when necessary.
• Participate in clinical documentation improvement initiatives and maintain regular attendance at team meetings.
• Handle special projects as assigned and perform other duties as needed.
Qualifications and Education Requirements
  1. High School Diploma or GED. An active CRC (certified risk adjustment coder) or CPC (certified professional coder) preferred.

2. Understanding of regulations regarding medical coding and documentation; Administrative responsibilities, professional written and verbal communication, typing skills.
3. Documented training in Medicare Risk Adjustment (MRA), HCC coding documentation guidelines, rules, and regulation.
4. Two years' demonstrated experience in a medical or health plan environment
5. Excellent computer skills with experience in Outlook, MS Office, MS Excel, MS Word
Pathways Health Partners is a growing company based in Leesburg, FL. We are proud of our professional yet family culture with the executive team working daily alongside our team members. We provide competitive salaries and a benefits package that is second to none.
  • Medical Insurance for Employee and Spouse/Significant Other paid up to 100% by Pathways!
  • Addition of family coverage for dependents at a fraction of the cost
  • 25K life insurance for employees 100% paid by Pathways!
  • Increasing Employee coverage or adding spouse/dependents at a fraction of the cost
  • Vision and Dental Coverage available at a very low cost for employees, spouses, and family
  • 401K retirement plan with 100% match up to 4% of annual pay
  • Paid holidays
  • Ample Paid Time Off (PTO) for vacation/sick/personal days

We look forward to speaking with you about this opportunity!

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