HCC Risk Adjustment Coder

About the role

The organization operates a data collaboration platform focused on healthcare. It addresses the challenges of securing, accessing, and utilizing health data across the healthcare ecosystem, serving providers, health plans, researchers, and life sciences companies. By enabling connections and actionable insights from health data, the program supports various healthcare needs, from individual medical record requests to advancing AI applications in healthcare. The HCC RISK ADJUSTMENT CODER role is responsible for reviewing medical records to identify and accurately code diagnoses using standardized systems. This position ensures precise representation of patient conditions for risk adjustment and reimbursement, directly impacting the accuracy and effectiveness of clinical documentation translation within the organization.

Responsibilities

• Review, analyze, and code diagnostic information in patient medical records based on specific project guidelines.
• Ensure compliance with ICD-10 CM, DRG coding guidelines, reimbursement policies, regulations, and accreditation standards.
• Maintain a minimum coding accuracy rate of 95%.
• Complete any additional tasks as directed by management.

Requirements

• Minimum of 2 years' experience in HCC coding.
• Extensive knowledge of ICD-10 coding.
• Strong understanding of medical terminology, abbreviations, pharmacology, and disease processes.
• Ability to work independently and meet deadlines in a fast-paced environment.
• Effective written and verbal communication skills suitable for remote work.
• Proficient with business computer hardware and software relevant to data processing and security.
• Ability to handle multiple client projects simultaneously.
• Certification credentials from AHIMA (RHIA, RHIT, CCS) or AAPC (CPC, CPC-H, COC, CIC, or CRC). CPC-As are accepted if CRC certified as well.

Benefits

• Medical insurance
• Vision insurance
• Dental insurance
• 401(k) retirement plan

Pay

The estimated total cash compensation range for this role is 25 to 26.70 USD per hour.

Schedule

Commitment to a 40-hour workweek.