Risk Adjustment / HCC Coder (Medicare Advantage)
Duration: Contract
Schedule Requirements:
- Minimum 20 hours per week
- Remote
Required Qualifications:
- Minimum 1 year of HCC coding experience
- Medicare Advantage Risk Adjustment coding experience required
- Must be able to code MA HCC and RxHCC
- Must pass a Risk Adjustment Coding Assessment prior to hire
- Certification required through AAPC or AHIMA
- CRC strongly preferred, but any active AHIMA or AAPC credential will be considered
- Experience with ICD-10-CM coding guidelines and risk adjustment data abstraction
- Working knowledge of EMRs, billing systems, abstraction platforms, and related coding systems
- Proficient with Microsoft Excel and Outlook
- Strong written and verbal communication skills
- Ability to work independently in a remote environment
Preferred Qualifications:
- CRC Certification
- Additional coding credentials such as CPC
Job Responsibilities
- Review, analyze, and code patient medical records according to client-specific guidelines.
- Assign accurate ICD-10-CM codes following official coding guidelines and risk adjustment requirements.
- Perform Medicare Advantage risk adjustment coding, including MA HCC and RxHCC coding.
- Follow Risk Adjustment Data Abstraction Rules and project-specific coding requirements.
- Maintain a minimum quality score of 95%.
- Meet established productivity standards and project deadlines.
- Ensure compliance with HIPAA, privacy, security, and confidentiality requirements.
- Utilize EMRs, billing systems, and abstraction platforms effectively.
- Communicate professionally with team members and leadership.
- Perform additional duties as assigned.
Medical, dental, and vision insurance are available to qualified candidates who meet eligibility requirements.
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