May 14, 2024

REMOTE Risk Adjustment Medical Coding Consultant (CPC, CRC, CCS)

  • CSI Companies
  • Remote
Full Time, Contract (CPC) Certified Professional Coder (CRC) Certified Risk Adjustment Coder (CCS) Certified Coding Specialist

Job Description

CSI Companies is actively hiring for a REMOTE Risk Adjustment Medical Coder for full-time hours ( minimum 35 hours a week) to join our growing Managed Services team.  This project REQUIRES a MINIMUM of 2 YEARS RISK ADJUSTMENT EXPERIENCE.

Working for CSI as a Risk Adjustment Medical coder in our Managed Services team will offer you the opportunity to:

  • Work with nationally recognized healthcare client companies that are industry leaders
  • Work on various projects as desired in 4 risk models (Rx HHS, CDPS, CMS and CAI), in multiple coding platforms, offering project variety while improving skill sets and always in a CSI Team environment with training, supportive coaching and tools proprietary to CSI
  • Have access to our internal learning platform, CSI University, for CSI proprietary risk adjustment educational content and free CEU's
  • Have the ability to move from project to project year round as clients require unique services, including risk adjustment coding, validation auditing and Code All ICD

Check out what other coders are sharing about their experience working at CSI-  Indeed Reviews

The What You Want to Know!

  • 100% REMOTE - Work from home
  • Flexible working schedule
  • PAY PER HOUR model
  • Paid training
  • Long term contract position- Benefits Offered!
  • Required Certification: Active certified coder certification through AHIMA or AAPC required: CRC, CPC, CCS-P, CCS (Certified Risk Adjustment Coder, Certified Professional Coder, Certified Coding Specialist- Physician Based)
  • Pay: $22-29/hr based on experience- Tiered hourly compensation models based on performance and years of experience with biannual reviews by CSI Team Leads. 
  • In House Expert Coding Support - mentoring, coaching, QA, CEUs
  • Small team environment of 10-12 coders for peer support and collaboration
  • Reporting to an assigned CSI Team Lead that performs internal quality control and provides 1:1 weekly remediation and coaching

The What Will You Be Doing?

  • Assign appropriate ICD–10-CM codes, mapping to risk adjustment models as applicable
  • Assign Event codes when documentation in the record is inadequate, ambiguous, or otherwise unclear for medical coding purposes
  • Comply with the Standards of Ethical Coding as set forth by the American Health Information Management Association and adhere to official coding guidelines
  • Comply with HIPAA laws and regulations
  • Maintain quality and production standards required by company - all medical coders must maintain minimum QA passing requirements. Quality expectations are 95% accuracy on all projects.
  • Remain current on diagnosis coding guidelines and risk adjustment reimbursement reporting requirements

The Position Requirements:

  • Active certified coder certification (CRC, CPC, CCS, CCS - P) through AHIMA or AAPC
  • Minimum 2 years of experience as a certified coder
  • Minimum 1 year of risk adjustment experience
  • Ability to code using an ICD-10-CM code book
  • Computer proficiency (including MS Windows, MS Office, and the Internet
  • High-speed Internet access

What other skills/experience would be helpful to have?

  • Knowledge of HIPAA, recognizing a commitment to privacy, security and confidentiality of all medical chart documentation
  • Strong clinical knowledge related to chronic illness diagnosis, treatment and management
  • Extensive knowledge of ICD-10-CM outpatient diagnosis coding guidelines (knowledge and demonstrated understanding of Risk Adjustment coding and data validation requirements is highly preferred)
  • Reliability and a commitment to meeting tight deadlines
  • Personal discipline to work remotely without direct supervision
  • Exemplary attention to detail and completeness
  • Strong organization, interpersonal, and customer service skills
  • Written and oral communication skills
  • Analytical skills

This is a remote, work from home position. You may be located anywhere within the US.

Required Experience Level

Intermediate Level

Minimum Education

High School

Minimum Experience Required

2-4 years

Required Travel

No required travel

Applicant Location

US residents only