Risk Adjustment Coder - Remote

Job Description

Description:

This is a flexible CMS HCC/Risk Validation Audit role for a seasonal project. Other opportunities for continued work may be available at the conclusion of the project. Full time opportunities are available at either 30 or 40 hours weekly.

Flexible work hours - nights and weekends are acceptable.

Coders will review member and claim data validation aspects, which include: Member name, Member DOB, Gender, Dates of service, claim type, and provider signature

Coders will be presented with all risk-adjusting diagnoses billed on a claim for a particular date of service or inpatient stay

Must be able to identify acceptable provider specialty

Coder must have knowledge of ICD-10-CM IP and OP coding

Coders will confirm or not confirm each diagnosis

Coders will add risk-adjusting diagnoses that are valid but not reportedRequirements:

Active certification through AAPC or AHIMA is required

Minimum 5 years verifiable risk adjustment coding experience post certification

Must be able to maintain a 95% accuracy rate and 3 CPH

US-Based Candidates Only

Full-time

Fully remote