Coder 1/HCC Risk Adjustment

Responsibilities

• Reviews medical records for accurate, compliant, and complete diagnosis code abstraction from a variety of chart and encounter types to support Medicare, Commercial and Medicaid prospective, concurrent and retrospective risk adjustment program initiatives.
• Stays current on coding guidelines necessary for the position by attending all Cotiviti required trainings, workshops, and personal research as appropriate.
• Professionally communicates findings, errors, and suggestions to Team Lead to facilitate ongoing communications and efficient department operations as part of a continuous improvement process.
• Completes all responsibilities as outlined in the annual performance review and/or goal setting.
• Completes all special projects and other duties as assigned.

Qualifications

• Education: Minimum High School Diploma.
• Certifications: Nationally certified coder in good standing through AAPC or AHIMA (CRC, CPC, CCS, etc.).
• Experience: Coder 1: 1-2 years’ experience in medical risk adjustment / HCC coding. Experience in HCC record abstraction and coding requirements. Demonstrated high level of quality accuracy and productivity in clinical coding work. Maintains professional credential in good standing as required by AAPC and/or AHIMA.
• Skills: Strong knowledge of medical terminology and anatomy and physiology. Intermediate skills and knowledge of computers with the ability to use the designated coding platform for coding processes with focus on both production and accuracy. Skills in organization and time management. Ability to read and understand medical record documentation for diagnosis extraction. Comfortable with computers and technology. Must abide by all HIPAA and associated patient confidentiality requirements.

Benefits

• Base compensation ranges from $23.00 to $26.50 per hour.
• Competitive benefits package including medical, dental, vision, disability, and life insurance coverage, 401(K) savings plans, paid family leave, 9 paid holidays per year, and 17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service with Cotiviti.