Remote - HCC / Risk Adjustment Medical Coders (6783)

Job Title{{:}} HCC / Risk Adjustment Medical Coder Location{{:}} Remote, US Shift Hours{{:}} Applicant should be available to work from 6 AM to 6 PM EST. Pay Rate{{:}} $18-$22/hr. Candidates must be available to commit to a minimum of 20 hours per week, Monday through Friday. Preference will be given to candidates who can commit to a full-time schedule of 40 hours per week. Important{{:}} This position follows a Bring Your Own Device (BYOD) policy. Candidates must have a Windows-based laptop/desktop with Windows Professional Edition (Windows Pro) and a reliable high-speed internet connection. Systems running Windows Home Edition are not compatible with the security requirements for this role. Job Summary{{:}} We are seeking experienced Medical Coders with a strong background in Risk Adjustment and Hierarchical Condition Category (HCC) coding. The ideal candidate will hold at least a CPC or CCS certification from AHIMA or AAPC, and higher-level certifications are highly desirable. As a Medical Coder specializing in Risk Adjustment/HCC, you will play a crucial role in ensuring accurate and compliant coding for our healthcare organization. Key Responsibilities{{:}}Review and accurately code medical records and encounters for diagnoses and procedures related to Risk Adjustment and HCC coding guidelinesEnsure coding is consistent with ICD-10-CM, CMS-HCC, and other relevant coding guidelinesValidate and ensure the completeness, accuracy, and integrity of coded dataIdentify and resolve coding discrepancies or discrepancies between clinical documentation and diagnosis codingStay up-to-date with the latest coding guidelines, rules, and regulations related to Risk Adjustment and HCC codingAdhere to all compliance and HIPAA regulations to maintain data security and patient confidentialityCollaborate with healthcare providers, physicians, and other team members to clarify documentation and resolve coding queriesParticipate in coding education and training programs to enhance coding skills and knowledgePrepare and submit reports related to coding activities, coding accuracy, and any coding-related issues or trendsAssist in internal and external coding audits to ensure the quality and compliance of coding practicesIdentify opportunities for process improvement and efficiency in the coding processOffer suggestions to enhance coding documentation and accuracy Requirements Qualifications{{:}}Minimum CPC or CCS certification from AHIMA or AAPC is required. Higher-level certifications such as CRC (Certified Risk Adjustment Coder) is a significant advantage. CPC-A (Apprentice) certification will not be considered for this positionMinimum one to two years of experience in Risk Adjustment and HCC coding in a healthcare settingStrong knowledge of ICD-10-CM coding guidelines and CMS-HCC risk adjustment methodologyFamiliarity with electronic health record (EHR) systems and coding softwareExcellent attention to detail, analytical skills, and ability to work independentlyStrong communication and interpersonal skills for collaboration with medical professionals and team membersUnderstanding of compliance and confidentiality regulations, including HIPAA