Remote, HCC Medical Coders

Job Title{​{:}} HCC Medical Code
rLocation{​{:}} Remote,
USShift Hours{​{:}} Applicant should be available to work from 6 AM to 6 PM E
ST.Pay Rate{​{:}}  $22/

h
• r. The candidate must be available to consistently commit to 40 hours per week, from Monday to Fr
i
• day Applicants are required to possess a Windows-operated laptop/desktop with video capabilities and high-speed internet connecti
v

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ty  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 organiza
t
ion. Key Responsibilities

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• ​{:}} Review and accurately code medical records and encounters for diagnoses and procedures related to Risk Adjustment and HCC coding guid
e
• lines Ensure coding is consistent with ICD-10-CM, CMS-HCC, and other relevant coding guid
e
• lines Validate and ensure the completeness, accuracy, and integrity of code
d
• data Identify and resolve coding discrepancies or discrepancies between clinical documentation and diagnosis
c
• oding Stay up-to-date with the latest coding guidelines, rules, and regulations related to Risk Adjustment and HCC
c
• oding Adhere to all compliance and HIPAA regulations to maintain data security and patient confident
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• ality Collaborate with healthcare providers, physicians, and other team members to clarify documentation and resolve coding q
u
• eries Participate in coding education and training programs to enhance coding skills and kno
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• ledge Prepare and submit reports related to coding activities, coding accuracy, and any coding-related issues or
t
• rends Assist in internal and external coding audits to ensure the quality and compliance of coding pra
c
• tices Identify opportunities for process improvement and efficiency in the coding p
r
• ocess Offer suggestions to enhance coding documentation and ac
c

ementsQualification

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• {​{:}} Minimum CPC or CCS certification from AHIMA or AAPC is required. Higher-level certifications such as CRC (Certified Risk Adjustment Coder) is a significant ad
v
• antage Minimum one to two years of experience in Risk Adjustment and HCC coding in a healthcare
s
• etting Strong knowledge of ICD-10-CM coding guidelines and CMS-HCC risk adjustment meth
o
• dology Familiarity with electronic health record (EHR) systems and coding s
o
• ftware Excellent attention to detail, analytical skills, and ability to work indepe
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• dently Strong communication and interpersonal skills for collaboration with medical professionals and team
m
• embers Understanding of compliance and confidentiality regulations, includin