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Flex Schedule Hcc Risk Adjustment Coding Jobs in Indiana

Humana

Clinical Coding Educator

Valparaiso, IN · On-site +1

Will report to the Manager, Medicare Risk Adjustment As the Clinical Coding Educator / Coding ... Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of ...

Humana

Clinical Coding Educator

Valparaiso, IN · On-site +1

Will report to the Manager, Medicare Risk Adjustment As the Clinical Coding Educator / Coding ... Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of ...

Humana

Clinical Coding Educator

Valparaiso, IN · On-site +1

Will report to the Manager, Medicare Risk Adjustment As the Clinical Coding Educator / Coding ... Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of ...

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Flex Schedule Hcc Risk Adjustment Coding information

What are the key skills and qualifications needed to thrive as a Flex Schedule HCC Risk Adjustment Coder, and why are they important?

To thrive as a Flex Schedule HCC Risk Adjustment Coder, you need strong knowledge of ICD-10 coding, risk adjustment models, and healthcare regulations, typically supported by a coding certification such as CPC, CRC, or CCS. Familiarity with electronic health record (EHR) systems, coding software, and audit tools is essential. Attention to detail, analytical thinking, and effective communication skills help coders accurately interpret medical records and collaborate with providers. These abilities ensure precise documentation and coding, which are crucial for compliant risk adjustment and proper reimbursement.

How does a flexible schedule impact teamwork and communication in HCC risk adjustment coding roles?

In HCC risk adjustment coding roles, a flexible schedule allows coders to manage their work-life balance, but it also requires strong communication and coordination with team members. Most teams use digital platforms and regular virtual meetings to stay connected, ensuring that questions are addressed promptly and coding standards are consistently applied. Being proactive in communication and diligent in updating shared documentation are key to overcoming challenges associated with non-traditional hours. Flexibility can enhance productivity, but success depends on clear expectations and reliable collaboration tools.

What is Flex Schedule HCC Risk Adjustment Coding?

Flex Schedule HCC Risk Adjustment Coding refers to a medical coding position where professionals review patient records to identify and code diagnoses according to Hierarchical Condition Category (HCC) guidelines. The 'flex schedule' aspect means coders can work non-traditional or adjustable hours, often remotely. HCC coding is critical for accurate risk adjustment in Medicare Advantage and other value-based care programs, directly impacting reimbursement for healthcare providers. Coders in this role need specialized knowledge of HCC models, ICD-10-CM coding, and often have a background in medical billing or coding certification.

Is HCC coding a good career?

HCC (Hierarchical Condition Category) coding is a specialized role within medical coding focused on risk adjustment for health plans. It offers steady employment opportunities, often requires certification, and involves detailed knowledge of medical records and coding systems. Many professionals find it a stable and rewarding career path in healthcare administration.

What is the difference between Flex Schedule Hcc Risk Adjustment Coding vs Medical Coding Specialist?

AspectFlex Schedule Hcc Risk Adjustment CodingMedical Coding Specialist
CertificationsHCC Risk Adjustment Certification, CPC or CCSCPC, CCS, or equivalent
Work EnvironmentHealthcare organizations, insurance companiesHospitals, clinics, physician offices
Job FocusRisk adjustment, data analysis, coding for Medicare AdvantageMedical record coding, billing, documentation

Flex Schedule Hcc Risk Adjustment Coders focus on risk adjustment coding for insurance purposes, often with flexible hours. Medical Coding Specialists handle medical record coding across various healthcare settings. While both require coding certifications, their work environments and job focuses differ, with HCC coders emphasizing risk data and Medical Coding Specialists concentrating on clinical documentation.

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Flex Schedule Hcc Risk Adjustment Coding jobs near you
Risk Adjustment Coder IHCI

Risk Adjustment Coder IHCI

Community Health Network

Indianapolis, IN • On-site

Full-time

Posted 17 days ago

Community Health Network rating

7.5

Company rating: 7.5 out of 10

Based on 220 frontline employees who took The Breakroom Quiz

217th of 864 rated healthcare providers

Job description

Join Community
Community Health Network was created by our neighbors, for our neighbors. Over 60 years later, "community" is still the heart of our organization. It means providing our neighbors with the best care possible, backed by state-of-the-art technology. It means getting involved in the communities we serve through volunteer opportunities and benefits initiatives. It means ensuring our dedicated caregivers can learn and grow to stay at the top of their fields and to better serve our patients. And above all, it means exceptional care, simply delivered - and we couldn't do it without you.
Partner with Community Health Network and Deaconess Health System - IHCI
The Innovative Healthcare Collaborative of Indiana LLC (IHCI) is a company formed through the partnership of Community Health Network (CHNw) and Deaconess Health System (DHS). Both CHNw and DHS place high importance on continuing and advancing population health and value-based care to improve patient health outcomes.
Make a Difference
Reporting to the Clinical Documentation Integrity Manager, this role performs patient chart reviews to ensure the appropriateness and
completeness of diagnostic coding with evidence based on CMS HCC standards. The Risk Adjustment Coder is responsible for:
  • Timely, accurate, and complete review of patient charts following patient encounters, utilizing a variety of technical platforms to complete workflows.
  • Validating diagnosis codes representing patient conditions along with necessary MEAT documentation.
  • Ensuring coding is consistent with guidelines from regulatory entities.
  • Conducting audits to meet compliance with ACA standards.
  • Creating post-visit queries with follow up.
  • Collaborating with CDI team members, particularly with clinical findings.
  • Contributing to the provider education body of work, participating in pre-encounter reviews as needed.

Exceptional Skills and Qualifications
Applicants for this position should be able to collaborate with others in a team setting, have excellent communication skills, and a positive attitude toward problem-solving.
critical thinkers.
  • High School diploma or GED is required.
  • Associate degree is preferred.
  • Three (3) or more years of experience in professional OUTPATIENT Risk Adjustment (HCC) coding is required.
  • Three (3) or more years of experience in population health, VBC/ACO is preferred.
  • Three (3) or more years of experience in OUTPATIENT Coding is preferred.
  • Must obtain one of the following certifications through AAPC and/or AHIMA: CPC, CPC-H, CPC-I, CPC-A, CCSP, CCS, Certified Risk Adjustment Coder (CRC) within 6 months from hire.
  • This is a REMOTE position. Community caregivers performing work remotely are permitted to live in the following states: Indiana, Illinois, Ohio, Michigan, Kentucky, Florida and Texas. Caregivers are not allowed to perform work remotely outside of the above states. Applicants from other states may apply; however, if hired, they will be required to relocate to one of the above states within 60 days of their employment date.

Why Community?
At Community Health Network, we build teams that deliver exceptional care through empathy, communication and collaboration. We consider ALL an integral part of the exceptional patient experience. We PRIIDE ourselves on not having employees but Caregivers. Join our Community as we make a difference in your community.
Caring people apply here.
Apply Today!

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