HCC Coder - Fully Remote
About the role
Evaluates risk adjustment codes to ensure accuracy, consistency, and alignment with coding standards and best practices.
Protects patient records and audit information by ensuring compliance with HIPAA, privacy, security, and regulatory requirements.
Performs Retrospective and Prospective chart reviews to ensure accurate risk adjustment reporting.
Verifies and ensures the accuracy, completeness, specificity and appropriateness of provider-reported diagnosis codes based on medical record documentation.
Reviews medical record information to identify complete and accurate diagnosis code capture based on CMS HCC categories.
Maintains knowledge of relevant regulatory mandates and ensures activities are in compliance with requirements.
Contributes to audit and production efforts to meet business demand and workload priorities.
Provides written and verbal guidance on coding errors to others.
Mets audit deliverables within established timelines and deadlines.
Affords assistance with special projects such as risk mitigation reviews.
Serves as a subject matter resource regarding the risk adjustment process and diagnosis coding for risk adjustment.
Required skills and experiences
- 7+ years of related professional experience.
- 5+ years of HCC coding experience in utilizing inpatient and outpatient coding guidelines.
- 5+ years of experience auditing Risk Adjustment records.
- 1+ years working in a Production environment.
- CRC (Certified Risk Coder) in good standing.
- Intermediate level of knowledge in risk adjustment Medicare, ACA Commercial and Medicaid models.
- Demonstrated ability to apply critical thinking skills to coding policy interpretation and implementation.
- Experience providing written and verbal guidance on coding errors and trends.
- Intermediate (or higher) MS Office (Word, Excel, Powerpoint & Outlook).
- Excellent organizational ability to manage multiple projects and perform in a deadline driven environment.
- High school diploma (or equivalency) and legal authorization to work in the U.S.
Additional Skills & Qualifications
Intermediate level of knowledge in risk adjustment Medicare, ACA Commercial and Medicaid models.
Demonstrated ability to apply critical thinking skills to coding policy interpretation and implementation.
Experience providing written and verbal guidance on coding errors and trends.
Job Type & Location
This is a Contract position based out of Jacksonville, FL.
Pay And Benefits
The pay range for this position is $32.00 - $37.00/hr.
Benefits are subject to change and may be subject to specific elections, plan, or program terms.
If eligible, the benefits available for this temporary role may include the following:
- Medical, dental & vision
- Critical Illness, Accident, and Hospital
- 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available
- Life Insurance (Voluntary Life & AD&D for the employee and dependents)
- Short and long-term disability
- Health Spending Account (HSA)
- Transportation benefits
- Employee Assistance Program
- Time Off/Leave (PTO, Vacation or Sick Leave)
About TEKsystems
We are a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions.
About TEKsystems Global Services
We are a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions.
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