Bronson, FL · Remote
$31.25 - $42/hr
... Reviewer (Remote) FullTime | 80 Hours per Pay Period CDI Second Level Reviewer (SLR) is a ... Acts as a liaison between the Coding Department and the Clinical Documentation Specialist to ...
Bronson, FL · Remote
$31.25 - $42/hr
... Reviewer (Remote) FullTime | 80 Hours per Pay Period CDI Second Level Reviewer (SLR) is a ... Acts as a liaison between the Coding Department and the Clinical Documentation Specialist to ...
$14.37 - $15.90
6% of jobs
$16.98 is the 25th percentile. Wages below this are outliers.
$15.90 - $17.42
26% of jobs
The median wage is $18.29 / hr.
$17.42 - $18.95
31% of jobs
$18.95 - $20.47
7% of jobs
$21.12 is the 75th percentile. Wages above this are outliers.
$20.47 - $22
11% of jobs
$22 - $23.52
6% of jobs
$23.52 - $25.05
5% of jobs
$25.05 - $26.57
3% of jobs
$26.57 - $28.09
2% of jobs
$28.09 - $29.62
1% of jobs
$29.62 - $31.14
1% of jobs
$14
$20
$31
A Remote HCC Coder reviews medical records to assign accurate diagnosis codes for risk adjustment purposes, ensuring proper reimbursement for healthcare providers. They specialize in Hierarchical Condition Category (HCC) coding, which helps assess patient risk scores for Medicare Advantage and other value-based care programs. Working remotely, they must have strong attention to detail, knowledge of ICD-10-CM coding guidelines, and compliance with CMS regulations. Many employers require certification (such as CRC, CPC, or CCS) and experience in risk adjustment coding.
To excel as a Remote HCC Coder, you need strong knowledge of medical coding, diagnosis-related groupings, and HCC (Hierarchical Condition Category) risk adjustment, typically supported by a relevant certification such as CPC, CCS, or CRC. Familiarity with coding software, electronic health record (EHR) systems, and compliance regulations is essential. Attention to detail, time management, and effective written communication stand out as important soft skills for this remote role. These competencies ensure accurate, compliant coding and contribute to optimal risk adjustment outcomes for healthcare organizations.
Remote HCC Coders often encounter challenges such as interpreting complex patient medical records, maintaining high accuracy under productivity expectations, and staying updated on changing coding guidelines. Proactive communication with team members and clinical staff, regular participation in continuing education, and diligent organization of workflow help manage these challenges effectively. Many employers also offer robust support resources, including access to coding professionals for consultations and ongoing training. By actively engaging with available resources and prioritizing accuracy, Remote HCC Coders can succeed and find growth opportunities in this specialized field.
Bronson, FL • Remote
$31.25 - $42/hr
Full-time
Re-posted 18 days ago
6.5
Based on 160 frontline employees who took The Breakroom Quiz
605th of 887 rated healthcare providers
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LocationBHG Bronson Healthcare GroupTitleClinical Documentation Coordinator / Second Level Reviewer (Remote) FullTime | 80 Hours per Pay PeriodCDI Second Level Reviewer (SLR) is a professional CDI with a strong clinical knowledge base and advanced understanding of DRG documentation requirements who works under the supervision of the CDI manager. Responsibilities include secondary clinical chart reviews, resolution of DRG discrepancies, and education to clinical staff regarding opportunities for diagnosis clarification, principal diagnosis accuracy and improvement of capture of additional comorbid conditions. The second level reviewer will conduct concurrent and retrospective medical record reviews on defined patient populations to identify opportunities to improve accuracy of documentation and collaborate with the coding department to assure documentation is clinically appropriate, accurately reflects the severity of illness for the patient, and is reflective of current CMS standards.
Requirements:
Education/Skills
Bachelor's degree required
Graduation from accredited School of Nursing; BSN or bachelor's degree in health-related field preferred
Experience
Minimum of (3-5) years as a Clinical Documentation Integrity Specialist required.
Exhibits strong clinical, critical thinking skillset
Experienced Clinical Documentation Integrity Specialist or CDI Second Level Reviewer with a strong understanding of disease processes, clinical indications and treatments; provider documentation requirements to reflect severity of illness, risk of mortality and support the diagnosis/procedures performed for accurate clinical coding and billing according the rules of Medicare, Medicaid, and commercial payors as well as a solid understanding of hospital acquired conditions (HAC's) , patient safety indicators (PSI's) and mortality models.
Experience with encoder and DRG assignments (MS and APR)
Maintains working knowledge of official knowledge of Official Coding Guidelines, Coding Clinic and federal updates to the DRG system
Licenses, Registrations, or Certifications
Currently licensed or licensed by endorsement as a Registered Nurse, MD or MD equivalent.
CDIP or CCDS Certification required or obtained within six months.
Responsibilities:
Second level reviewer responsibilities include comprehensive secondary clinical chart reviews to identify potential missed opportunities for documentation clarification, act as a liaison between coding and CDI to resolve DRG or other code discrepancies, collaborate with CDI manager to educate CDI team based on opportunities identified in second level reviews and work directly with clinicians and providers to improve the overall quality and completeness of documentation through the query process and/or provider education. The Clinical Documentation Integrity Second Level Reviewer will collaborate closely with Compliance, Revenue Cycle Leaders, and Providers to assure documentation is clinically appropriate, accurately reflects the severity of illness and risk of mortality for the patient and is reflective of current CMS or other regulatory standards.
Analyzes and interprets clinical data to identify gaps, inconsistencies, and/or opportunities for improvement in the clinical documentation and queries the provider using concurrent query process following ACDIS/AHIMA Guidelines for Compliant Query Writing.
Complete comprehensive, clinical secondary reviews of targeted patient populations to include cases with DRG and/or code discrepancies; mortality reviews to ensure documentation supports risk of mortality; hospital acquired conditions (HACs), patient safety indicators (PSIs) or other top priority diagnosis as identified for potential missed opportunities to clarify documentation or clinically validate a diagnosis.
Acts as a liaison between the Coding Department and the Clinical Documentation Specialist to reconcile discrepancies in code and/or DRG assignment
Communicates findings of secondary reviews to respective Clinical Documentation Specialist for follow-up and query initiation.
Collaborative interaction with physicians and/or other clinicians to enhance understanding of the CDI program goals; ensure the medical record can be coded accurately in order to accurately reflect patient severity of illness and risk of mortality
Collaborate with other clinical disciplines (i.e. quality, case management etc.) and members of the coding department to ensure high quality clinical documentation and efficient, timely coding of the medical record.
ShiftFirst ShiftTime TypeFull timeScheduled Weekly Hours40Cost Center1225 Revenue Integrity (BHG)Agency Use Policy and Agency Submittal Disclaimer
Bronson Healthcare Group and its affiliates ("Bronson") strictly prohibit the acceptance of unsolicited resumes from individual recruiters or third-party recruiting agencies ("Recruiters") in response to job postings or word of mouth. Unsolicited resumes sent to any employee of Bronson by Recruiters, without both a valid written agreement with Bronson and a direct written request from the Bronson Talent Acquisition Department for a specific job position, will be considered the property of Bronson. Furthermore, no fees will be owed or paid to Recruiters who submit resumes for unsolicited candidates, even if those candidates are hired. This policy applies regardless of whether the Recruiter has a pre-existing agreement with Bronson. Only candidates submitted through a specific written agreement with the Bronson Talent Acquisition Department for a named position are eligible for fee consideration.
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