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Trainee Hcc Risk Adjustment Coding Jobs in Texas

UTMB Health

Senior Coder - RCO Coding (Remote)

Galveston, TX · Remote

$21.50 - $28.50/hr

CRC - Certified Risk Adjustment Coder (AAPC) JOB SUMMARY: Properly codes and/or audits professional services for inpatient and/or professional and hospital outpatient technical services for multiple ...

UTMB Health

Senior Coder - RCO Coding (Remote)

Galveston, TX · Remote

$21.50 - $28.50/hr

CRC - Certified Risk Adjustment Coder (AAPC) JOB SUMMARY: Properly codes and/or audits professional services for inpatient and/or professional and hospital outpatient technical services for multiple ...

UT Southwestern Medical Center

CDI Audit Educator RN

Dallas, TX · On-site +1

$34.50 - $46.25/hr

The Coding and CDI Audit/Educator is identified as the highest-level coding subject matter expert ... CDI audits specific to PDx, POA, query compliance, risk adjustments variables, clinical substance ...

UTMB Health

Senior Coder - RCO Coding (Remote)

Galveston, TX · Remote

$21.50 - $28.50/hr

CRC - Certified Risk Adjustment Coder (AAPC) JOB SUMMARY: Properly codes and/or audits professional services for inpatient and/or professional and hospital outpatient technical services for multiple ...

UTMB Health

Senior Coder - RCO Coding (Remote)

Galveston, TX · Remote

$21.50 - $28.50/hr

CRC - Certified Risk Adjustment Coder (AAPC) JOB SUMMARY: Properly codes and/or audits professional services for inpatient and/or professional and hospital outpatient technical services for multiple ...

UT Southwestern Medical Center

CDI Audit Educator RN

Dallas, TX · On-site +1

$34.50 - $46.25/hr

The Coding and CDI Audit/Educator is identified as the highest-level coding subject matter expert ... CDI audits specific to PDx, POA, query compliance, risk adjustments variables, clinical substance ...

UT Southwestern Medical Center

CDI Audit Educator RN

Dallas, TX · On-site +1

$34.50 - $46.25/hr

The Coding and CDI Audit/Educator is identified as the highest-level coding subject matter expert ... CDI audits specific to PDx, POA, query compliance, risk adjustments variables, clinical substance ...

UT Southwestern Medical Center

CDI Audit Educator RN

Dallas, TX · On-site

$34.50 - $46.25/hr

The Coding and CDI Audit/Educator is identified as the highest-level coding subject matter expert ... CDI audits specific to PDx, POA, query compliance, risk adjustments variables, clinical substance ...

UTMB Health

Senior Coder - RCO Coding (Remote)

Galveston, TX · On-site +1

$21.50 - $28.50/hr

CRC - Certified Risk Adjustment Coder (AAPC) JOB SUMMARY: Properly codes and/or audits professional services for inpatient and/or professional and hospital outpatient technical services for multiple ...

U2801

CDI Audit Educator RN

Dallas, TX · On-site +1

$34.50 - $46.25/hr

The Coding and CDI Audit/Educator is identified as the highest-level coding subject matter expert ... CDI audits specific to PDx, POA, query compliance, risk adjustments variables, clinical substance ...

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Trainee Hcc Risk Adjustment Coding information

Can I get a job as a medical coder with no experience?

Entry-level medical coding positions, including trainee HCC risk adjustment coding roles, often do not require prior experience but do require knowledge of medical terminology, coding systems like ICD-10, and attention to detail. Completing a coding certification or training program can improve job prospects, and some employers offer on-the-job training for beginners.

Is HCC coding a good career?

HCC coding for risk adjustment is a growing field in healthcare, offering stable employment opportunities and the potential for certification as a Certified Professional Coder (CPC) or similar credential. It requires attention to detail, knowledge of medical terminology, and familiarity with coding software, making it a viable career path for those interested in healthcare administration and medical billing.

What are some common challenges faced by Trainee HCC Risk Adjustment Coders, and how can they be overcome?

Trainee HCC Risk Adjustment Coders often encounter challenges such as interpreting complex medical documentation, staying up-to-date with changing coding guidelines, and accurately assigning codes that reflect patients' true risk profiles. Overcoming these challenges involves continuous learning, seeking mentorship from experienced coders, and utilizing resources like coding manuals and online forums. Collaborating with clinical staff and participating in regular training sessions can also enhance accuracy and confidence in the coding process.

What is the difference between Trainee Hcc Risk Adjustment Coding vs Hcc Risk Adjustment Coder?

AspectTrainee Hcc Risk Adjustment CodingHcc Risk Adjustment Coder
CertificationsNone or entry-level certificationsCertified Professional Coder (CPC) or equivalent
Work EnvironmentTraining programs, supervised settingsIndependent coding in healthcare facilities
Job ResponsibilitiesLearning coding processes, assisting with documentationAccurate coding, claim submission, compliance

The main difference is that Trainee Hcc Risk Adjustment Coders are in training or entry-level roles, focusing on learning and assisting, while Hcc Risk Adjustment Coders are experienced professionals responsible for independent coding and compliance tasks.

What is a Trainee HCC Risk Adjustment Coder?

A Trainee HCC Risk Adjustment Coder is an entry-level professional who is learning how to review and assign medical codes for diagnoses in patient records, specifically for the Hierarchical Condition Category (HCC) risk adjustment model. This role involves training in medical coding standards, healthcare regulations, and compliance requirements to ensure accurate coding for insurance and Medicare/Medicaid reimbursement. Trainees typically work under supervision and are expected to develop a strong understanding of ICD-10-CM coding, clinical documentation improvement, and the principles of risk adjustment. The position is ideal for those starting a career in medical coding and offers a pathway to becoming a certified HCC coder.

What are the key skills and qualifications needed to thrive as a Trainee HCC Risk Adjustment Coder, and why are they important?

To thrive as a Trainee HCC Risk Adjustment Coder, you need a foundational understanding of medical coding, anatomy, and healthcare terminology, often supported by a relevant certification or coursework. Familiarity with ICD-10-CM coding systems, electronic health records (EHRs), and risk adjustment software is typically required. Strong attention to detail, analytical thinking, and effective communication are important soft skills in this role. These skills ensure accurate coding, which directly impacts proper reimbursement, compliance, and the quality of patient care data.

How to become a risk adjustment coder?

To become a risk adjustment coder, typically one needs a coding certification such as CPC or CCS, along with knowledge of medical coding and healthcare documentation. Training programs or courses in risk adjustment coding are often recommended, and experience with coding tools and electronic health records can enhance job prospects.

How much do HCC coders make in the US?

HCC risk adjustment coders typically earn between $50,000 and $80,000 annually in the US, depending on experience, certification, and location. Entry-level positions may start lower, while experienced coders with certifications like CPC or CCS can earn higher salaries, especially in healthcare hubs or with specialized skills.
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Trainee Hcc Risk Adjustment Coding jobs near you
Senior Coder - RCO Coding (Remote)

Senior Coder - RCO Coding (Remote)

UTMB Health

Galveston, TX • Remote

$21.50 - $28.50/hr

Full-time

Posted 18 days ago

UTMB Health rating

7.4

Company rating: 7.4 out of 10

Based on 166 frontline employees who took The Breakroom Quiz

256th of 876 rated healthcare providers

Job description

EDUCATION & EXPERIENCE:

Minimum Qualifications:

  • Three years of multi-specialty coding experience.
  • Proficient in coding Professional services, and/or Outpatient professional and hospital technical services.
  • Experience with communicating, training, and educating providers in proficiency.

Preferred Qualifications:

  • Knowledge of coding guidelines, anatomy and physiology, biology and microbiology, medical terminology and medical abbreviations.
  • Experience in OB and Women's Specialties in an outpatient or clinic setting.

REQUIRED LICENSES, REGISTRATIONS, OR CERTIFICATIONS:

One of the following:

  • CCA – Certified Coding Associate (AHIMA) or
  • CCS – Certified Coding Specialist (AHIMA) or
  • CCS-P – Certified Coding Specialist – Physician Based (AHIMA) or
  • RHIA – Registered Health Information Administrator (AHIMA) or
  • RHIT – Registered Health Information Technician (AHIMA)
  • CIC – Certified Inpatient Coder (AAPC) or
  • COC – Certified Outpatient Coder (AAPC) or
  • CPC – Certified Professional Coder (AAPC) or
  • CPC-A – Certified Professional Coder – Apprentice (AAPC) or
  • CRC – Certified Risk Adjustment Coder (AAPC)

JOB SUMMARY:

Properly codes and/or audits professional services for inpatient and/or professional and hospital outpatient technical services for multiple specialty areas to ensure accuracy and optimal reimbursement from all third-party payers.

ESSENTIAL JOB FUNCTIONS:

  • Reviews documentation in EPIC and/or on paper as provided to appropriately assign ICD-10-CM, PCS and CPT codes.
  • Communicates with and provides feedback to the education team and/or provider for query opportunities for documentation clarification or missing elements in the medical record.
  • Utilizes the encoder and/or Optum software to correctly assign all appropriate ICD-10-CM, ICD10-PCS and CPT codes for diagnosis and procedures.
  • Sequences diagnoses and procedures to generate clean claims in accordance with the Coding Guidelines based on the type of coding being reviewed.
  • Verifies all ADT information is correct on all charge sessions; date of service, billing provider, service provider, place of service, referral information and claim form if required.
  • Attends and participates in coding education sessions.
  • Obtains required CEU’s for certification and completes any required education.
  • Works coding related charge reviews/claim edits daily to ensure timely and accurate billing within filing deadlines.
  • The coder is responsible for productivity and quality standards to adhere with coding compliance and federal regulations.
  • Work all PB/HB claim edits and reject errors daily.
  • Hospital DNB’s will be worked as assigned per Specialty.
  • Work charge reconciliation to ensure all services provided are captured for coding in a timely manner.
  • Adheres to internal controls and reporting structure.

Marginal or Periodic Functions:

  • Performs related duties as required.

KNOWLEDGE/SKILLS/ABILITIES:

  • Strong written and oral communication skills.

WORKING ENVIRONMENT/EQUIPMENT:

  • Standard office environment at UTMB’s main campus or other location.
  • Occasional travel may be required.
  • Standard office equipment

SALARY RANGE:

Actual salary commensurate with experience.

WORK SCHEDULE:

Remote position; flexible hours following successful completion of training.

Equal Employment Opportunity

UTMB Health strives to provide equal opportunity employment without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/expression, genetic information, disability, veteran status, or any other basis protected by institutional policy or by federal, state or local laws unless such distinction is required by law. As a Federal Contractor, UTMB Health takes affirmative action to hire and advance protected veterans and individuals with disabilities.

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