4 hcc coder jobs found in Phoenix

Spectraforce Technologies seeks a Quality Assurance Coder/Auditor to lead risk adjustment coding quality within Medicare/Medicaid programs. You will review records, perform audits, and educate providers on accurate diagnoses and documentation to improve coding accuracy. This hybrid Phoenix role requires travel to physician offices weekly, a minimum of 5 years of medical coding with HCC experience, and CCS-P/CRC/CPC/COC credentials. The position is 6 months with potential extension. #J-18808-Ljbffr

Risk Adjustment Coding AuditorOverview We are seeking a detail-oriented Risk Adjustment Coding Auditor to support the accuracy, integrity, and compliance of clinical coding data across risk adjustment programs. In this role, you will conduct audits, review medical record documentation, identify coding opportunities, and provide guidance on coding accuracy to help support compliant reporting and appropriate reimbursement. The ideal candidate will bring extensive HCC coding and risk adjustment auditing experience, strong analytical skills, and a thorough understanding of Medicare, Medicaid, and ACA risk adjustment models. Key Responsibilities Perform retrospective and prospective chart reviews to evaluate risk adjustment diagnosis coding accuracy. Audit medical records to verify the completeness, specificity, and appropriateness of reported diagnoses. Review clinical documentation to ensure accurate HCC capture and risk adjustment reporting. Evaluate...

Job Title: Quality Assurance Coder/Auditor Location: Phoenix, AZ (Hybrid, Required to Travel into the office 1 x per week) Duration: 6 Months (possibility of extension or conversion) Department: Medicare/ Medicaid Purpose The Quality Assurance Coder/Auditor will develop a risk mitigation and provider education program. On a regular basis, the Coder/Auditor will educate primary care providers and their staff on their historical diagnoses/coding error trends, accurate completion of medical record documentation, and at‑risk code identification and risk mitigation. This includes the review, analysis, and recommended coding based on medical and clinical diagnoses, procedures, injuries, or illnesses contained in medical records and supporting documentation. The Quality Assurance Coder/Auditor will perform risk mitigation analysis using available vendor tools to identify at‑risk single occurrences of HCCs and OIG targets. Deletions will be submitted for unsupported/invalid diagnoses....

Banner Health is seeking a Medical Coder specializing in Surgical Cardiology to work remotely. The ideal candidate will have at least 3 years of recent experience in Surgical Cardiology Profee EM coding and must hold a certification such as CPC, CCS, or RHIA. Responsibilities include evaluating medical records, ensuring compliance with coding guidelines, and providing quality assurance. The role also requires effective work in a remote environment utilizing standard office and coding software. #J-18808-Ljbffr