Integrated Resources

Job Title: HCC | Risk Adjustment Coder Location: Newark, NJ (100% Remote) Duration: 6 months (possible extension) Pay Rate: $30 - $35/hr. on W2 Schedule: Regular Business Hours. Important Details: Candidates can be located in any one of the five states: NJ, NY, PA, CT, and DE You will be required to travel for the pickup and return of equipment, and/or laptops that need servicing. Job Summary: Responsible for reviewing, auditing, coding, and analyzing medical records to ensure accurate diagnosis documentation and HCC abstraction. Supports Medicare, Medicaid, Commercial Risk Adjustment programs, and RADV audits while ensuring compliance with ICD-10 coding guidelines and risk adjustment regulations. Key Responsibilities Review medical records for coding accuracy, completeness, and compliance Abstract and validate HCC diagnoses using ICD-10, CPT, and HCPCS coding systems Support Medicare Advantage, Medicaid, Commercial, and ACA risk...

Duties: Job Summary: Under the direction of the Coding Compliance Manager, the Specialty Physician Coder plays a key role in reviewing and analyzing specialty coding and billing for charge processing. This role is responsible for reviewing and accurately coding office, hospital, and surgical/procedures for reimbursement and ensuring accurate and compliant medical coding for inpatient and outpatient services, diagnostic tests, and other medical services rendered to patients. The Specialty Physician Coder works with the Coding Compliance Manager on discovered coding trends, irregularities, and needed action items. Job Responsibilities: -Achievement of productivity standards as established by management. -Achievement of quality standards as established by management. -Analyze and interpret medical information in the medical record and assign and sequence the correct ICD-10-CM, CPT, and/or HCPCS codes to the diagnoses/procedures of office, inpatient, and/or outpatient...

Fully Remote role - Must reside in CA - CPC, CCS, or equivalent certification required. Specialty coding certification is highly desired. **ROLE REQUIREMENTS** Surgical breast oncology (including plastic reconstructive breast surgery), Hematology/Oncology Must be able to abstract the chart review to capture all billable charges EPIC experience: charge entry and charge review experience required Strong Evaluation and Management (E/M) inpatient and outpatient coding experience Must reside in CA but can be remote Profee ONLY - NOT HCC/risk adjustment, ASC, or facility coding Desire to convert to full-time employment **Bonus/nice to have** Bonus: GYNONC coding experience Bonus: Experience working on denials Bonus: GI (CGIC coding certification) or OBGYN (COBGC coding certification) coding experience (1 year or more) Job Description: Under the direction of the Coding Compliance Manager, the Specialty Physician Coder plays a key role in...