As an HCC Coding Analyst, you will play a vital role in ensuring accurate documentation and coding ... Remote
As an HCC Coding Analyst, you will play a vital role in ensuring accurate documentation and coding ... Remote
Medical Coder
Columbia, MD · Remote
$19.25 - $25.50/hr
As an HCC Coding Analyst, you will play a vital role in ensuring accurate documentation and coding ... Remote
Quick apply
Medical Coder
Columbia, MD · Remote
$19.25 - $25.50/hr
As an HCC Coding Analyst, you will play a vital role in ensuring accurate documentation and coding ... Remote
Professional Coding Auditor & Educator
Silver Spring, MD · Remote
$43.40/hr
Coding Auditor and Educator (Remote) Employment Type: Full-Time Shift: Days (SUMMARY) Position ... Partners with leadership to improve HCC, high risk scoring, with provider and coder education.
Professional Coding Auditor & Educator
Silver Spring, MD · Remote
$43.40/hr
Coding Auditor and Educator (Remote) Employment Type: Full-Time Shift: Days (SUMMARY) Position ... Partners with leadership to improve HCC, high risk scoring, with provider and coder education.
Professional Coding Auditor & Educator
Silver Spring, MD · Remote
$43.40/hr
Coding Auditor and Educator (Remote) Employment Type: Full-Time Shift: Days (SUMMARY) Position ... Partners with leadership to improve HCC, high risk scoring, with provider and coder education.
Professional Coding Auditor & Educator
Silver Spring, MD · Remote
$43.40/hr
Coding Auditor and Educator (Remote) Employment Type: Full-Time Shift: Days (SUMMARY) Position ... Partners with leadership to improve HCC, high risk scoring, with provider and coder education.
Payment Integrity Program Development Manager
Nottingham, MD · On-site +1
Medical
Dental
Vision
Retirement
PTO
You will bridge coding and billing expertise, regulatory policy, and data analytics to transform ... g., Optum/CES, Cotiviti, McKesson) and Medicare Advantage framework guidelines #LI-Remote Salary ...
Payment Integrity Program Development Manager
Nottingham, MD · On-site +1
Medical
Dental
Vision
Retirement
PTO
You will bridge coding and billing expertise, regulatory policy, and data analytics to transform ... g., Optum/CES, Cotiviti, McKesson) and Medicare Advantage framework guidelines #LI-Remote Salary ...
Remote Optum Hcc Coding information
See Baltimore, MD salary details
$17.20 - $17.78
7% of jobs
$18.35 is the 25th percentile. Wages below this are outliers.
$17.78 - $18.37
19% of jobs
$18.37 - $18.96
5% of jobs
$18.96 - $19.54
3% of jobs
$19.54 - $20.13
14% of jobs
The median wage is $20.28 / hr.
$20.13 - $20.72
6% of jobs
$20.72 - $21.30
0% of jobs
$21.30 - $21.89
0% of jobs
$21.89 - $22.47
0% of jobs
$22.94 is the 75th percentile. Wages above this are outliers.
$22.47 - $23.06
26% of jobs
$23.06 - $23.65
20% of jobs
$17
$21
$23
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Contractor
Re-posted 13 days ago
Job description
Job description:
Job Overview
We are seeking a highly skilled and detail-oriented HCC Coding Analyst to join our healthcare revenue cycle management team. The ideal candidate will possess a comprehensive understanding of hierarchical condition categories (HCC) coding, medical billing, and medical record abstraction. As an HCC Coding Analyst, you will play a vital role in ensuring accurate documentation and coding of patient records to optimize reimbursement from government programs such as the Centers for Medicare and Medicaid Services (CMS). Your expertise in ICD-9, ICD-10, CPT coding, and DRG assignment will contribute significantly to the efficiency and compliance of our billing processes. This position offers an opportunity to work within a dynamic healthcare environment dedicated to accuracy, compliance, and quality patient care.
Duties
- Review NLP-generated HCC coding output.
- Validate assigned codes against available documentation.
- Identify unsupported, inaccurate, or missing codes.
- Make corrections in the platform or designated workflow.
- Follow customer coding instructions and project guidelines.
- Complete assigned records in accordance with agreed production expectations.
- Utilize electronic health record (EHR) systems and electronic health records (EHR) management tools for coding, record abstraction, and billing workflows.
- Conduct audits of coded records to identify discrepancies and implement corrective actions to improve coding accuracy.
- Maintain up-to-date knowledge of changes in medical coding standards, CMS regulations, and healthcare policies affecting reimbursement.
- Support revenue cycle management initiatives by ensuring precise coding that maximizes appropriate reimbursements while maintaining compliance.
Requirements
- Proven experience in medical coding with a focus on HCC coding within a healthcare setting.
- Strong knowledge of ICD-9, ICD-10, CPT coding systems, and DRG assignment processes.
- Familiarity with medical billing procedures, medical records management, and electronic health record (EHR) systems.
- Understanding of the CMS guidelines for risk adjustment models and reimbursement policies.
- Excellent attention to detail with the ability to accurately abstract information from complex medical records.
- Knowledge of medical terminology, anatomy, pathology, and clinical documentation practices.
- Prior experience with electronic health records (EHR) management for billing and coding is highly desirable.
- Effective communication skills for collaborating with clinicians, billing teams, and auditors.
Join our team as an HCC Coding Analyst to ensure precise clinical documentation that supports optimal reimbursement while maintaining regulatory compliance within a fast-paced healthcare environment!
Benefits:
- Flexible schedule
- Work Location: Remote