Risk Adjustment Coder

This is a fully remote position, open to applicants in New Jersey.

📋 Description

• Evaluate medical records and apply coding standards with the utmost precision.

• Adhere to CMS and HIPAA regulations, as well as company objectives and policies.

• Conduct quantitative and qualitative assessments of both paper and electronic medical records for thoroughness, consistency, and accuracy.

• Execute risk adjustment data validations in accordance with AHA coding guidelines.

• Analyze and code both diagnostic and procedural information from medical records to determine client payments.

• Perform ICD-10-CM, CPT, and HCPCS coding to facilitate reimbursement.

• Collaborate with clients and colleagues to share valuable insights, implement enhancements, and foster strong partnerships.

• Stay informed on coding updates through ongoing research.

• Operate from a home office in a remote capacity.

• Travel to various site locations within the designated territory as needed.

• Average a commitment of 40 hours per week and remain available outside standard business hours when required.

⛳️ Requirements

• A valid Certified Coding Specialist (CCS) designation from the American Health Information Management Association, Certified Professional Coder (CPC) designation, Certified Professional Coder Apprentice (CPC-A) designation, or CCA designation, along with a minimum of one year of coding experience.

• A minimum of 6 months of experience with ICD-10-CM coding.

• Proficiency in MS Word, Excel, and PowerPoint.

• Willingness to learn and become proficient in new and proprietary software.

• Excellent written and verbal communication abilities.

• Capability to build and maintain strong relationships.

• Skill in prioritizing tasks, coordinating work activities, and independently managing multiple complex tasks with minimal supervision in a remote environment.

• Attention to detail and a quick ability to follow instructions and learn new tasks.

• Strong work ethic and unwavering integrity.

• Must be able to travel to various site locations within the assigned territory.

• Availability to work extended hours as necessary.

• Must be accessible outside normal business hours on an as-needed basis.

• Eligibility to work in this country is required.

• RHIA certification is a plus.

• Experience in Documentation Improvement, HCC, knowledge of or experience with Medicare Advantage plans, and familiarity with managed health care systems, PACE, or Medicare is advantageous.

🏝️ Benefits

• Medical, dental, and vision insurance.

• Flexible spending accounts.

• Company-paid life insurance.

• Short-term disability coverage.

• Voluntary benefits.

• 401(k) plan.

• Paid time off.

• Paid holidays.

• Medical, dental, and vision coverage effective the first of the month following the date of hire.

• Opportunity to work remotely from a home office.