Dallas, TX · Remote
$22.25 - $30.50/hr
Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical Record Reviews ... Remote Certified Coders review medical records and apply appropriate ICD-9-CM diagnostic codes and ...
Dallas, TX · Remote
$22.25 - $30.50/hr
Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical Record Reviews ... Remote Certified Coders review medical records and apply appropriate ICD-9-CM diagnostic codes and ...
Dallas, TX · On-site +1
$22.25 - $30.50/hr
Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical Record Reviews ... Remote Certified Coders review medical records and apply appropriate ICD-9-CM diagnostic codes and ...
Dallas, TX · On-site +1
$22.25 - $30.50/hr
Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical Record Reviews ... Remote Certified Coders review medical records and apply appropriate ICD-9-CM diagnostic codes and ...
Dallas, TX · Remote
$25 - $26.70/hr
... HCC (Hierarchical Condition Category) coder you will review medical records to identify and code ... Excellent written and verbal communication skills, ability to work in a remote environment, and ...
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Dallas, TX · Remote
$25 - $26.70/hr
... HCC (Hierarchical Condition Category) coder you will review medical records to identify and code ... Excellent written and verbal communication skills, ability to work in a remote environment, and ...
Remote position after training on site (a minimum of 3 weeks) at the Dallas Campus. Job ... HCC experience; demonstrated experience in procedural/surgical coding Strong knowledge of CMS ...
Remote position after training on site (a minimum of 3 weeks) at the Dallas Campus. Job ... HCC experience; demonstrated experience in procedural/surgical coding Strong knowledge of CMS ...
Austin, TX · Remote
$600 - $720/day
Document risk adjustment (HCC coding) during patient visits * Close HEDIS care gaps during visits ... Fully remote work - no commute * Consistent visit flow and structured workflows * Clear ...
Austin, TX · Remote
$600 - $720/day
Document risk adjustment (HCC coding) during patient visits * Close HEDIS care gaps during visits ... Fully remote work - no commute * Consistent visit flow and structured workflows * Clear ...
Dallas, TX · Remote
Virtual Employee Inpatient Experience Required - Remote work for TX, AR, WI and FL ONLY Primary ... the coder to be highly proficient in the proper assignment of ICD-10 CM, PCS, CPT, HCPCS. HCC ...
Dallas, TX · Remote
Virtual Employee Inpatient Experience Required - Remote work for TX, AR, WI and FL ONLY Primary ... the coder to be highly proficient in the proper assignment of ICD-10 CM, PCS, CPT, HCPCS. HCC ...
Remote. Must be able to attend meetings as needed onsite. Why Us. The Clinical Coding Supervisor ... HCC, CPT, modifier updates, and reimbursement methodologies Apply understanding of MUE, LCD/NCD ...
Remote. Must be able to attend meetings as needed onsite. Why Us. The Clinical Coding Supervisor ... HCC, CPT, modifier updates, and reimbursement methodologies Apply understanding of MUE, LCD/NCD ...
Houston, TX · Remote
$89K/mo
Remote. Must be able to attend meetings as needed onsite. Why Us? The Clinical Coding Supervisor ... current on ICD CM, HCC, CPT, modifier updates, and reimbursement methodologies • Apply ...
Houston, TX · Remote
$89K/mo
Remote. Must be able to attend meetings as needed onsite. Why Us? The Clinical Coding Supervisor ... current on ICD CM, HCC, CPT, modifier updates, and reimbursement methodologies • Apply ...
Remote. Must be able to attend meetings as needed onsite. Why Us? The Clinical Coding Supervisor ... current on ICD CM, HCC, CPT, modifier updates, and reimbursement methodologies • Apply ...
Remote. Must be able to attend meetings as needed onsite. Why Us? The Clinical Coding Supervisor ... current on ICD CM, HCC, CPT, modifier updates, and reimbursement methodologies • Apply ...
Dallas, TX · Remote
$18 - $23/hr
Comprehensive knowledge of coding, billing, processes and requirements * Knowledge of local payers ... Maintains systems, policies amp; procedures to ensure compliance with all contractual obligations ...
Dallas, TX · Remote
$18 - $23/hr
Comprehensive knowledge of coding, billing, processes and requirements * Knowledge of local payers ... Maintains systems, policies amp; procedures to ensure compliance with all contractual obligations ...
Dallas, TX · On-site +1
$18.50 - $23.75/hr
Comprehensive knowledge of coding, billing, processes and requirements * Knowledge of local payers ... Maintains systems, policies & procedures to ensure compliance with all contractual obligations of ...
Dallas, TX · On-site +1
$18.50 - $23.75/hr
Comprehensive knowledge of coding, billing, processes and requirements * Knowledge of local payers ... Maintains systems, policies & procedures to ensure compliance with all contractual obligations of ...
San Antonio, TX · On-site +1
$17 - $21.75/hr
Comprehensive knowledge of coding, billing, processes and requirements * Knowledge of local payers ... Maintains systems, policies & procedures to ensure compliance with all contractual obligations of ...
San Antonio, TX · On-site +1
$17 - $21.75/hr
Comprehensive knowledge of coding, billing, processes and requirements * Knowledge of local payers ... Maintains systems, policies & procedures to ensure compliance with all contractual obligations of ...
... contractual obligations. * Working with Supervisor and the Compliance office, train providers in ... Certified Professional Coder (CPC) through governing body AAPC. - Required
... contractual obligations. * Working with Supervisor and the Compliance office, train providers in ... Certified Professional Coder (CPC) through governing body AAPC. - Required
... contractual obligations. * Working with Supervisor and the Compliance office, train providers in ... Certified Professional Coder - (CPC) through governing body AAPC. - Required
... contractual obligations. * Working with Supervisor and the Compliance office, train providers in ... Certified Professional Coder - (CPC) through governing body AAPC. - Required
... contractual obligations. * Working with Supervisor and the Compliance office, train providers in ... Certified Professional Coder (CPC) through governing body AAPC. - Required Employment Type ...
... contractual obligations. * Working with Supervisor and the Compliance office, train providers in ... Certified Professional Coder (CPC) through governing body AAPC. - Required Employment Type ...
... contractual obligations. * Working with Supervisor and the Compliance office, train providers in ... Certified Professional Coder (CPC) through governing body AAPC. - Required Employment Type ...
... contractual obligations. * Working with Supervisor and the Compliance office, train providers in ... Certified Professional Coder (CPC) through governing body AAPC. - Required Employment Type ...
Dallas, TX · Remote
$16.49 - $26.39/hr
Learns and familiarizes payer policies and contractual terms associated with the payer to which the ... Knowledge of CPT, ICD-9, and ASA coding preferred. *The physical demands described here are ...
Dallas, TX · Remote
$16.49 - $26.39/hr
Learns and familiarizes payer policies and contractual terms associated with the payer to which the ... Knowledge of CPT, ICD-9, and ASA coding preferred. *The physical demands described here are ...
Understand, interpret, and effectively communicate contractual language in Life and Accident ... Perform off-cycle quality review claim audits to ensure proper coding, documentation, and ...
Understand, interpret, and effectively communicate contractual language in Life and Accident ... Perform off-cycle quality review claim audits to ensure proper coding, documentation, and ...
Waco, TX · On-site +1
Understand, interpret, and effectively communicate contractual language in Life and Accident ... Perform off-cycle quality review claim audits to ensure proper coding, documentation, and ...
Waco, TX · On-site +1
Understand, interpret, and effectively communicate contractual language in Life and Accident ... Perform off-cycle quality review claim audits to ensure proper coding, documentation, and ...
Dallas, TX · Remote
$16.49 - $26.39/hr
Learns and familiarizes payer policies and contractual terms associated with the payer to which the ... Knowledge of CPT, ICD-9, and ASA coding preferred. *The physical demands described here are ...
Dallas, TX · Remote
$16.49 - $26.39/hr
Learns and familiarizes payer policies and contractual terms associated with the payer to which the ... Knowledge of CPT, ICD-9, and ASA coding preferred. *The physical demands described here are ...
| Aspect | Contractual Remote Hcc Coder |
|---|---|
| Certifications | AHIMA or AAPC certifications, HCC coding credentials |
| Work Environment | Remote, contractual basis, independent contractor setup |
| Employer & Industry Usage | Health plans, insurance companies, healthcare providers |
| Job Focus | Risk 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.
Altegra Health is a total solutions partner for healthcare data auditing and analytics. Altegra provides end-to-end solutions to help improve payment integrity data, to support accreditation programs, and to meet regulatory requirements. Altegra's nationwide network of registered nurses and certified coders professionally acquire, audit, and analyze healthcare data for healthcare organizations. Altegra Health specializes in:
1. CMS HCC Risk Adjustment
2. HEDIS
3. Medical Record Reviews (Accreditation)
4. And more
These are a remote/home based temporary positions forecast to run through the end of 2015 and Coders will be paid by the chart. Remote Certified Coders review medical records and apply appropriate ICD-9-CM diagnostic codes and Altegra Health Flagged Event. Codes must meet Altegra Health QA standards (following both Official Coding Guidelines and Risk Adjustment Guidelines).
Responsibilities:
Abstract pertinent information from patient medical records. Assign appropriate ICD-9-CM codes, creating HCC and/or RxHCC group assignments as applicable.
Assign Altegra Health Flagged Event codes when documentation in the record is inadequate, ambiguous, or otherwise unclear for medical coding purposes.
Remain current on medical coding guidelines and reimbursement reporting requirements.
Check chart assignments every day and report accurately all hours worked on a weekly basis.
Report work-related concerns to assigned Coder Advocate and if not adequately addressed to Sr. Manager of Clinical Operations.
Comply with the Standards of Ethical Coding as set forth by the American Health Information Management Association and adhere to official coding guidelines.
Comply with HIPAA laws and regulations.
Participate in testing and training as required by the Company.
Qualifications:
Active nursing license (RN or LPN) and/or certified coder certification through AHIMA or AAPC required
At least one years' experience as a medical coder/abstractor.
Extensive knowledge of ICD-9-CM outpatient diagnosis coding guidelines (with knowledge and demonstrated understanding of CMS HCC Risk Adjustment coding and data validation requirements is preferred);
Ability to code using an ICD-9-CM code book (without using an encoder);
Strong clinical skills related to chronic illness diagnosis, treatment and management;
Reliability and a commitment to meeting tight deadlines (24-hour turnaround time on all assigned charts);
Personal discipline to work remotely without direct supervision;
Exemplary attention to detail and completeness-all medical coders must maintain minimum QA passing requirements based on HCC scoring model(HCCx < or equal to 5 and HCCm < or equal to 5);
Computer proficiency (including MS Windows, MS Office, and the Internet);
Must have high-speed Internet access, a home computer with a current Windows operating system, MS Internet Explorer (version 6.0.2 or better), and Adobe 6.0 or better;
Strong organization skills; interpersonal and customer service skills; written and oral communication skills; and analytical skills;
Knowledge of HIPAA, recognizing a commitment to privacy, security and confidentiality of all medical chart documentation.
1 year of certified coding experience
All your information will be kept confidential according to EEO guidelines.
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Health care and social assistance
1,001 - 5,000 Employees
Fort Lauderdale, FL, US
1990
