Mathematical skills Work Shift Day (United States of America) Location Patewood Memorial Hospital Facility 7002 Value-Based Care and Network Services Department 70028459 HCC Coding Services Share ...
Mathematical skills Work Shift Day (United States of America) Location Patewood Memorial Hospital Facility 7002 Value-Based Care and Network Services Department 70028459 HCC Coding Services Share ...
Remote Hcc Coding information
What is the difference between Remote Hcc Coding vs Remote Medical Coding?
| Aspect | Remote Hcc Coding | Remote Medical Coding |
|---|---|---|
| Certifications | CCS, CPC, RHIT, RHIA | CPC, CCS, RHIT, RHIA |
| Work Environment | Home-based, healthcare facilities, insurance companies | Home-based, hospitals, clinics, insurance companies |
| Industry Usage | Insurance, risk adjustment, value-based care | Hospitals, physician offices, insurance |
Remote Hcc Coding focuses on risk adjustment and hierarchical condition categories, often requiring specific certifications like CCS or CPC. Remote Medical Coding covers a broader range of medical billing and coding tasks across various healthcare settings. While both roles are remote and require coding certifications, Hcc Coding emphasizes risk adjustment coding for insurance and healthcare analytics, whereas Medical Coding encompasses general medical billing and coding duties.
How do remote HCC coders interact with healthcare providers and ensure accurate documentation while working off-site?
Remote HCC Coders frequently collaborate with healthcare providers and clinical staff through secure digital communication channels such as email, electronic health record (EHR) messaging, and scheduled video calls. Maintaining clear communication is essential for clarifying documentation or diagnosis discrepancies. Coders also participate in virtual team meetings and may conduct provider education sessions to support accurate risk adjustment coding. This collaborative approach helps ensure coding accuracy and compliance, even when working remotely.
What is remote HCC coding?
Remote HCC coding is the process of assigning Hierarchical Condition Category (HCC) codes to patient diagnoses and medical records while working from a location outside of a traditional healthcare office or hospital, such as from home. HCC coding is essential for risk adjustment in Medicare Advantage and other value-based care programs, as it helps determine reimbursement rates based on patient complexity. Remote HCC coders use electronic health records and specialized software to review documentation and ensure accurate code assignment. This job typically requires certification, strong attention to detail, and knowledge of medical terminology and coding guidelines.
What skills and qualifications are needed to thrive as a remote HCC coder?
To thrive as a Remote HCC Coder, you need a solid understanding of ICD-10-CM coding guidelines, risk adjustment methodologies, and a relevant certification such as CPC, CCS, or CRC. Familiarity with electronic medical record (EMR) systems, coding software, and secure communication platforms is typically required. Attention to detail, time management, and strong analytical skills are vital soft skills for accurate coding and meeting productivity targets. These competencies are essential to ensure precise documentation, compliance, and optimal reimbursement in a remote healthcare environment.
What are popular job titles related to Remote Hcc Coding jobs in South Carolina? For Remote Hcc Coding jobs in South Carolina, the most frequently searched job titles are:
- Hcc Risk Adjustment
- Freelance Remote Risk Adjustment Coder
- Risk Adjustment Coder
- Seasonal Hcc Risk Adjustment Coding
- Remote Hcc Coder
- Seasonal Medical Billing Coding Willing To Train
- From Home Optum Health Coding Risk Adjustment
- Overnight Remote Hcc Coder
- Contractual Remote Hcc Coder
- Telecommute Medical Coder
What job categories do people searching Remote Hcc Coding jobs in South Carolina look for? The top searched job categories for Remote Hcc Coding jobs in South Carolina are:
What cities in South Carolina are hiring for Remote Hcc Coding jobs? Cities in South Carolina with the most Remote Hcc Coding job openings:
Risk Adjustment Coder Professional Billing II, FT, Days, - Remote
Greenville, SC • On-site, Remote
Full-time
Posted 26 days ago
Prisma Health rating
7.1
Based on 349 frontline employees who took The Breakroom Quiz
380th of 887 rated healthcare providers
Job description
Inspire health. Serve with compassion. Be the difference.
Job Summary
Conducts prospective review to abstract Hierarchical Condition Categories (HCC's) codes to report for the calendar year. Communicates (via Epic and in person) with providers on any outstanding HCC capture opportunities. Conducts retrospective reviews to ensure that documentation supports reporting the Hierarchical Condition Category code prior to payor submission.
Essential Functions
Supervisory/Management Responsibilities
Minimum Requirements
In Lieu Of
Required Certifications, Registrations, Licenses
Knowledge, Skills and Abilities
Work Shift
Day (United States of America)
Location
Patewood Memorial Hospital
Facility
7002 Value-Based Care and Network Services
Department
70028459 HCC Coding Services
Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.
Job Summary
Conducts prospective review to abstract Hierarchical Condition Categories (HCC's) codes to report for the calendar year. Communicates (via Epic and in person) with providers on any outstanding HCC capture opportunities. Conducts retrospective reviews to ensure that documentation supports reporting the Hierarchical Condition Category code prior to payor submission.
Essential Functions
- All team members are expected to be knowledgeable and compliant with Prisma Health's values: Inspire health. Serve with compassion. Be the difference.
- Conducts prospective review of charts to identify HCC opportunity.
- Conducts retrospective review of charts to confirm documentation supports reporting.
- Utilizes payor specific software to assist in capturing HCCs.
- Communicates with providers about HCC opportunities for improvement.
- Identifies suspect conditions that would potentially support reporting an HCC.
- Participates in education offerings
- Participates in monthly meetings
- Performs other duties as assigned.
Supervisory/Management Responsibilities
- This is a non-management job that will report to a supervisor, manager, director or executive.
Minimum Requirements
- Education - High School diploma or equivalent or post-high school diploma / highest degree earned. Associate degree preferred
- Experience - Five (5) years professional fee coding experience
In Lieu Of
- NA
Required Certifications, Registrations, Licenses
- Certified Professional Coder (CPC), and
- Certified Risk Adjustment Coder (CRC)
Knowledge, Skills and Abilities
- Knowledge of office equipment (fax/copier)
- Proficient computer skills including word processing, spreadsheets, database
- Data entry skills
- Mathematical skills
Work Shift
Day (United States of America)
Location
Patewood Memorial Hospital
Facility
7002 Value-Based Care and Network Services
Department
70028459 HCC Coding Services
Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.
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Benefits
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About Prisma Health
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
10,000+ Employees
Headquarters location
Greenville, SC, US
Year founded
2017