Remote Hcc Coder Jobs in Iowa (NOW HIRING)

UI Health Care has a new opportunity for an HCC Risk Adjustment Coding Coordinator to join Finance and Accounting's Revenue Integrity team.  The position plays a pivotal role in ensuring the accuracy and completeness of HCC (Hierarchical Condition Categories) risk coding to optimize risk-adjusted payment models and improve patient outcomes.

Under the direction of the Risk Adjustment Program Manager, the HCC Risk Adjustment Coding Coordinator is responsible for supporting all aspects of the UI Health Care Risk Coding Program, including but not limited to pre-visit coding support, provider and coder education, and post-visit auditing.

The ideal candidate will possess a thorough understanding of risk coding methodologies and risk adjustment, and the ability to drive compliance and performance across multiple departments in a complex healthcare environment.

This position is eligible to participate in remote work and applicants who wish to work remotely will be considered.  Training will be held either on-site or virtually from the Hospital Support Services Building at a length determined by the supervisor.  Remote eligibility will be evaluated upon satisfactory training.  Per policy, work arrangements will be reviewed annually, and must comply with the remote work program and related policies and employee travel policy when working at a remote location.

Position responsibilities:

• Support the HCC risk adjustment coding program across the organization, ensuring that coding practices align with CMS guidelines and other regulatory requirements.

• Collaborate with clinical, operational, and financial leaders to optimize HCC coding and documentation workflows.

• Review documentation available in the medical record (Epic) to facilitate workflows that support the clinical picture/severity of illness/complexity of the patient care rendered to patients.

• Utilize available coding resources to determine the appropriate ICD-10-CM diagnosis codes mapped to HCCs.

• Actively participate in and maintain coding quality and productivity benchmarks.

• Collaborate with department and coding teams to perform retrospective and other targeted medical record reviews, ensuring documentation accuracy, evaluating clinical severity, identifying quality concerns, and supporting continuous improvement across evolving review priorities.

• Provide ongoing feedback to physicians and other providers regarding coding guidelines and requirements.

• Develop and implement educational programming for providers, departments, and clinic staff relating to risk coding and documentation compliance as well as new policies and procedures.

• Engage with cross-functional teams and stakeholders, fostering a culture of collaboration and continuous improvement.

• Stay up to date with changes in HCC coding regulations, ensuring organizational compliance, and implementing necessary updates to processes.