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Hourly Crc Coding Jobs in California (NOW HIRING)

Educator-HIM

Loma Linda, CA · On-site

$85 - $100/hr

The hourly rate of pay will be determined commensurate with the candidate's qualifications and ... Coder (CRC) by AAPC, Certified Outpatient Coder (COC) preferred. About Us Our mission is to ...

Hourly Crc Coding information

What is hourly CRC coding?

Hourly CRC coding refers to the process of assigning risk adjustment codes, specifically Hierarchical Condition Categories (HCCs), on an hourly basis for healthcare providers or organizations. CRC stands for Certified Risk Adjustment Coder, a credential that demonstrates expertise in coding diagnoses for risk adjustment models, such as those used by Medicare Advantage plans. Coders review medical records to ensure accurate and compliant assignment of codes, which impacts reimbursement and quality scores. Being paid hourly means coders are compensated based on the number of hours worked rather than per chart or per project.

What are the key skills and qualifications needed to thrive as an hourly CRC coder?

To thrive as an Hourly CRC Coder, you need a solid understanding of medical coding, particularly risk adjustment coding, and typically require certification such as CRC (Certified Risk Adjustment Coder) from AAPC. Familiarity with coding software, electronic health record (EHR) systems, and ICD-10-CM classification is essential. Attention to detail, analytical thinking, and strong organizational skills are standout soft skills for this role. These competencies ensure accurate coding, compliance with regulations, and proper reimbursement for healthcare services.

What are some common challenges faced by professionals in hourly CRC coding roles, and how can they be addressed?

Hourly CRC (Clinical Risk Coding) coders often encounter challenges such as keeping up with frequent updates to coding guidelines, managing large volumes of patient data, and ensuring accurate documentation for risk adjustment. These professionals typically work independently but collaborate closely with clinical staff and other coders to clarify documentation and resolve discrepancies. Staying current through regular training, utilizing reliable coding resources, and maintaining open communication with healthcare teams are effective strategies to overcome these challenges and ensure coding accuracy.

What is the difference between Hourly Crc Coding vs Medical Coder?

AspectHourly Crc CodingMedical Coder
CredentialsCertification in CRC Coding, often CPC or CCSCertification in Medical Coding, such as CPC or CCS
Work EnvironmentHealthcare facilities, outpatient clinics, insurance companiesHospitals, clinics, insurance companies, billing services
Industry UsageUsed primarily for risk adjustment and coding in healthcareUsed for billing, reimbursement, and medical record documentation

Hourly Crc Coding and Medical Coder roles share similar certifications and work environments, focusing on healthcare documentation. However, Hourly Crc Coding specializes in risk adjustment coding for insurance purposes, while Medical Coders handle billing and reimbursement processes. Both are essential in healthcare, but their specific functions and focus areas differ.

What are the most commonly searched types of Crc Coding jobs in California?

The most popular types of Crc Coding jobs in California are:

What are popular job titles related to Hourly Crc Coding jobs in California?

For Hourly Crc Coding jobs in California, the most frequently searched job titles are:

What cities in California are hiring for Hourly Crc Coding jobs?

Cities in California with the most Hourly Crc Coding job openings:

HEALTH CODER - HCC & RISK ADJUSTMENT

NORTH EAST MEDICAL SERVICES

Burlingame, CA • On-site

$58.95 - $67.16/hr

Other

Re-posted 21 days ago


Job description

Job Details

Job Location: Burlingame, CA 94010
Salary Range: $42.79 - $48.75 Hourly

ESSENTIAL JOB FUNCTIONSHCC Coding and Risk Adjustment (RA) Program Support
  • Perform comprehensive review of patient charts to identify and validate diagnosis codes in alignment with HCC and risk adjustment guidelines.
  • Ensure all coding adheres to CMS and ICD-10 guidelines, focusing on accuracy, completeness, and compliance.
  • Conduct prospective and retrospective chart audits to assess risk adjustment coding accuracy.
Provider Training and Clinical Documentation Improvement (CDI)
  • Develop and deliver provider education sessions and materials on best practices for clinical documentation and HCC/RA coding.
  • Provide one‑on‑one and group training to providers and clinical staff to improve documentation quality and accuracy.
  • Serve as a resource and subject matter expert on HCC, risk adjustment, and related coding standards.
Data Analysis and Reporting
  • Analyze coding data to identify trends, documentation gaps, and opportunities for improvement.
  • Generate reports and dashboards to track coding performance and documentation accuracy.
  • Collaborate with the Quality and Analytics teams to optimize risk adjustment processes.
Compliance and Continuous Improvement
  • Stay up‑to‑date with changes in coding, risk adjustment, and Medicare regulations.
  • Assist in the development and implementation of internal coding policies and procedures.
  • Participate in quality improvement initiatives related to coding and documentation.
  • Perform other job duties as required by manager/supervisor.
Education & Certification
  • BS/BA Degree in Health Science or General Education is required.
  • Certified Professional Coder (CPC), Certified Risk Adjustment Coder (CRC), or equivalent coding certification is required.
  • Additional CDI or auditing certifications (CCDS, CDEO, CPMA) are preferred.
Experience
  • Minimum of 3 years of experience in medical coding with a focus on HCC, risk adjustment, and Medicare Advantage programs.
  • Experience in provider education, clinical documentation improvement (CDI), and chart audits.
  • Previous experience working in an IPA, managed care organization, or similar setting is strongly preferred.
Skills & Competencies
  • Excellent communication, presentation, and interpersonal skills.
  • Strong understanding of CMS guidelines for Medicare Advantage and risk adjustment program.
  • Exceptional knowledge of ICD-10-CM coding and HCC risk adjustment coding methodologies.
  • Proficiency in electronic health records (EHR) and coding software.
  • Strong analytical and problem‑solving skills.
Language
  • Must be able to fluently speak, read and write English.
  • Fluency in other languages is an asset.
Status

This is an FLSA Non‑exempt position.

This is not an OSHA high‑risk position.

This a full‑time position.

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