72 hcc coder jobs found

Job Description iMedX has an immediate need for HCC Coder / Auditors. iMedX currently has one full-time position (40 hours per week) and one part-time position (20 hours per week), hourly paid, and you work from home! Demonstrated and verifiable experience in HCC Coding and the RADV validation process is required. Applicants must be based in the United States or its territories. PURPOSE The HCC Coder / Auditor is responsible for accurately abstracting data into appropriate client data systems, following the Official Guidelines for Coding and Reporting as well as Risk Adjustment guidelines for data collection. Client-specific guidelines may also contribute to the coding and validation process. This role will be responsible for reviewing a patient's complete record and assigning ICD-10-CM codes and specifically those mapping to HCCs, for completeness and accuracy. Maintains consistent coding accuracy rate of 95% or better and able to meet client and corporate productivity standards...

Job Description O ur Vision is to be the best choice for healthcare in our community Conduct provider medical record review of HCC coding, analysis of practice coding patterns, of daily patients visit assigned to centers regarding risk adjustment to ensure accurate reporting of sickness data and improve quality of care. Provide ICD diagnosis of MRA identifying all diagnoses, along with possible comorbidities and complications, sickness level of the patient, to identify patterns and development of interventions at the provider. **This is a Hybrid position - 50% Remote/50% on site) MUST RESIDE IN FL - PREFERABLY IMMEDIATE TAMPA BAY REGION** WHAT DOES FMC HAVE TO OFFER ITS EMPLOYEES? We offer a wide choice of compensation and benefit programs that are among the best. From competitive salaries to retirement plans. We make every effort to take care of the people who make our company great. * Gives you an employer that you will have pride in working for * Provides excellent training...

Job Description South Los Angeles based FQHC looking for onsite Certified HCC coder . *This is not a remote position Conduct the necessary audits of medical record to verify the physicians have appropriately documented the diagnoses then code these diagnoses in ICD-10 for Medicare Risk Adjustments/Medicare Advantage. Evaluate medical information (Outpatient/Inpatient) documentation from a clinical standpoint for evidence of the possibility of additional medical conditions that may not have been documented in the past, and ensure accurate coding of the encounter data and recommend processes for accurate coding practices. This process involves a very strong understanding of medical coding. * Ascertain that medical record documentations have accurate diagnoses and conditions to assure not to up-code, fraudulently or misrepresent the patient condition and ensure compliance to prepare for random CMS medical records audit * HEDIS coding and record collection * Report Coding...

Job Description Welcome to Pine Park Health! About us Pine Park Health is a value-based primary care practice that's reshaping how residents of senior living communities experience healthcare. We provide high-quality prevention and screening, care for chronic conditions, lab work, and diagnostic testing to patients in their homes and closely partner with community staff to improve resident health and wellness. We also provide in-person and virtual Rapid Care for common concerns -- like falls, wounds, or changes in behavior -- to help patients avoid trips to the ER where they're exposed to further health issues. Over 80 communities across the Bay Area, San Diego, and Phoenix work with Pine Park today and we're growing rapidly to expand our reach and impact. Investors include First Round Capital, Google's AI fund, Canvas Ventures, Foundation Capital, Y Combinator, and Susa. If you're interested in changing healthcare for seniors, join us! The Opportunity The Remote HCC Coder has a...

Job Description Equality Health is an Arizona-based population healthcare company focused on improving care delivery for underserved populations through culturally-sensitive programs that improve access, quality, and patient trust. Our mission is to ensure diverse populations receive quality healthcare that improves and enriches their lives. We have developed our product portfolio around centralized technology, services and network designs intended to organize a better healthcare delivery system for cultures that have struggled with integrating into the traditional one-size-fits-all U.S. healthcare system. The HCC Coder is an integral part of Equality Health's risk adjustment efforts to achieve effective documentation and coding practices while maintaining and/or improving provider relationships. This individual will review submitted medical records to validate ICD-10-CMs and add recently identified ICD-10-CMs. They will deliver direct feedback to provider offices when validation...

Coding Specialists are an important part of the Team at CorroHealth. We are seeking an HCC Coder with E/M Experience to join a great team responsible for: • Diagnosis capture, specifically those that map to HCCs • E/M Level capture for In Home Visits • CPT-II Code Capture • Modifiers • Written communication with providers Full Time (40 hours/week) Flexible hours quality and productivity goals are met. Remote/Work from home 1 year of HCC coding experience with an additional 1 year of coding experience is required. CRC as well as an additional coding credential through AAPC or AHIMA are required. Review, analyze and code patient medical records based on client specific guidelines for the project. Follow ICD-10-CM Coding Guidelines and interpret coding guidelines for accurate code assignment. Follow Risk Adjustment Data Abstraction Rules specific to Medicare capitation model. Follow client/project specific guidelines. Will be required...

Risk Adjustment Coding Specialists are an important part of the Team at CorroHealth. The HCC Coding Team Member will review medical records to abstract ICD-10 codes, specifically those that map to HCCs, RxHCCs, and ESRD models. Coders will follow Medicare guidelines, ICD-10-CM guidelines as well as client specific requirements.  This is a seasonal position. Benefits for Full Time Team Members: PTO 401K Health Insurance Disability Insurance Vision Insurance Dental Insurance Equipment provided Encoder software with access to AHA Coding Clinic Full Time (40 hours/week) Flexible hours after quality and productivity goals are met. Remote/Work from home (within the U.S.) Must have a minimum of 6 months of recent retrospective HCC coding experience plus 1+ years of additional coding experience. A valid AAPC or AHIMA coding credential required. Acceptable credentials would be CPC, CRC, COC, RHIT, CCS, or CCS-P. Apprenticeship designations...

Job Description Location: Raymond Diehl Area/Department: Finance Hours per week: 40 F/T or P/T status: Full Time Work schedule/hours: Based upon the company's needs, weekly work schedule may vary between M-F 8 am - 5:30 pm Job Summary: This role will provide coding quality auditing services and evaluate clinical documentation to ensure accurate coding. This position is responsible for timely communication of identified quality issues concerning documentation and coding. The ultimate goal is improvement in coding accuracy. The minimum productivity goal is set by project with an expectation of minimum 95% accuracy rate. Minimum Qualifications: High School diploma or equivalent required. Associate's degree or equivalent from two-year college or technical school preferred. AAPC/AHIMA certification and at least 1 year of previous coding experience required. Certified Professional Coder (CPC) or Certified Risk Adjustment Coder (CRC) preferred. Job Posted by ApplicantPro

Job Description Who We Are: Apixio is advancing healthcare with data-driven intelligence and analytics. Our Artificial Intelligence platform gives organizations across the healthcare spectrum the power to mine clinical information at scale, creating novel insights that will change the way healthcare is measured, care is delivered, and discoveries are made. About the role: The Supervisor is responsible for driving consistency and quality across Apixio coding teams, related to Risk Adjustment HCC coding and customer guidelines. The Supervisor will work closely with other Apixio coding managers to establish and implement workflows and training programs that will achieve a high level of coder performance, measured by coder accuracy and productivity. The Supervisor will coach, counsel, and mentor Apixio production Coders and QA specialists in an effort to improve teamwork, morale, and overall coding quality and results. The Supervisor will demonstrate Service Excellence at all times....

Job Description Become part of Arizona Community Physicians (ACP), Arizona's largest and most successful physician-owned medical group. ACP is a patient-centered organization consisting of over 900 employees. Our group includes 180 providers in the specialties of family medicine, internal medicine, geriatrics, pediatrics, endocrinology, rheumatology, dermatology, and gynecology. We are located in 54 locations of varying sizes in Tucson, Oro Valley and Green Valley. Our dynamic group offers lots of opportunities for professional growth and personal satisfaction. HCC Coder - Abacus Health Job Summary Performs pre-visit patient chart review to find Hierarchical Condition Category and Risk Adjustment Factor (HCC/RAF) coding opportunities for multiple Primary Care providers using expertise in ICD-10 coding practices, Medicare Guidelines and Value Based principles. Responsibilities Performs chart reviews as required. Demonstrates high level of organizational skills in prioritizing tasks...

Job Description Position Location: 100% Remote Qualifications The Medical Coder provides coding and coding auditing services directly to providers. This includes the analysis and translation of medical and clinical diagnoses, procedures, injuries, or illnesses into designated numerical codes. This is a full-time, remote position that offers a flexible schedule. Responsibilities: * Receive assigned medical charts to code * Review medical charts electronically using a computer * Abstract and code diagnosis and documentation information * Research and resolution of coding projects as assigned * Document requested information from the medical record * Determine valid encounters including legibility and valid signature requirements * Identify valid face to face encounters * Perform ongoing analysis of medical record charts for the appropriate coding compliance * Coder is responsible for meeting daily production goal and quality goal of averaging 95% accuracy rate on a consistent basis...

Elevate your expertise! Join UASI today and work with the top HIM experts in the industry. The remote coding positions at UASI allow HIM professionals to have the best of both worlds: a challenging opportunity to utilize and enhance current coding skills and the convenience of working from home. We are currently seeking experienced Risk Adjustment Coding Specialists to perform accurate code assignments on a full-time basis while working remotely from a home office. The ideal candidate will be flexible, detail-oriented, have the ability to work independently, quality conscious and be able to adapt well to change. Additional qualifications include: AAPC or AHIMA certification Experience coding HCC for internal medicine records in a pro-fee setting A minimum of three years’ coding experience The ability to provide a secure work environment is a must   UASI is dedicated to providing employees with the tools needed for professional growth and...

Job Description Do you enjoy working with friendly and helpful people in a positive work environment? Are you ready to embrace a career that offers a variety of learning opportunities? Are you looking to make a positive impact on peoples' lives in our community? Consider a career at Boulder Medical Center (BMC). We are 100% privately owned and Physician operated, we provide care in over 20 different specialties, have 90+ providers practicing today, we employ 325+ Healthcare Professionals, and we have locations through-out Boulder County, CO. Summary: Boulder Medical Center (BMC) is currently seeking Certified Medical Coders to join our Quality team as a Risk Adjustment Coding Specialist! This position will work full-time 40 hours per week on Monday through Friday with the flexibility to work remotely. Job Perks: * Full-time employees are eligible for medical / dental / vision, flexible spending, company-paid life insurance and Short Term Disability (STD) as well as several...

Job Description On Lok PACE We are a non-profit committed to our participants. Dedicated to The Care of Elders: PACE ( Program of All-Inclusive Care for the Elderly) was developed to answer the many problems around caring for frail seniors. The PACE model is centered on the belief that it is better for the well-being of seniors with chronic care needs and their families to be served in their community whenever possible. Seniors, their family members, and caregivers face many issues, including transportation to appointments, management of medications, coordination of medical care from different specialists, lack of social interaction, and ability to stay alone at home. On Lok PACE participants receive in home care services and transportation to a On Lok PACE center for primary medical care, social and recreational activities, and other senior care services. We understand the importance of a system that works together. Your expertise, drive and passion can help us carry out our...

Job Description Virtual Outpatient Coder HIM BO/FO Health Information- Nashville, TN Shift: Full-time • Work From Home Job Summary As part of our hospital outpatient coding team, you will work outpatient coding quality and/or billing alerts/edits for hospital outpatient encounters (e.g., same day surgery, observation, wound care, emergency department, and/or diagnostic) to ensure complete and accurate code assignment. This is a great starting position for those wanting to move from production coding toward an outpatient coding quality review position. Job Responsibilities · Verifying accuracy of assigned CPT codes for complex and/or error prone procedures, * Verifying the diagnosis coding accuracy for complex and/or error prone encounters, * Validating certain discharge dispositions, * Reviewing charge and procedure mismatches, * Reviewing codes with revenue integrity for NCD/LCD coverage, * Reviewing invalid codes, code conflicts, and missing modifiers, * Working with other team...

Job Description Role & Responsibilities: * Responsible for assigning ICD-10-CM diagnosis and PCS codes for the purpose of reimbursement, research, and compliance with federal regulations and Official Coding Guidelines. * Utilize appropriate coding resources such as Coding Clinic, CPT Assistant, Uniform Hospital Discharge Data Set (UHDDS). * Abstract all clinical and statistical information as required * Abide by AHIMA Code of Ethics * Abstract data elements to satisfy statistical requests by the hospital, health system, medical staff, and enters all coded/abstracted information into the appropriate software program. * Assists in implementing solutions to reduce back-end billing errors * Review medical record data for validation and other purposes as defined by the client. * Other duties as assigned Qualifications: * Must possess either a Certified Coding Specialist (CCS), Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Inpatient Coder (CIC),...

Job Description Who We Are Founded in 1973, O'Neil Digital Solutions (ODS) specializes in the optimization of complex end-to-end business process systems for a multitude of business verticals including Digital Print, Healthcare, and Transportation industries. ODS provides high-touch bespoke software engineering, systems integration, and infrastructure management services to clients of all sizes and industries offering state of the art publishing solutions through electronic document delivery, web applications, high-speed digital printing (color and black & white), automated composition, offset printing, warehousing and fulfillment services. ODS is headquartered in Los Angeles, CA and also has offices/plants in Texas and North Carolina centrally located to serve clients across the country. Who We Are Looking For We seek a Medical Coder to leverage healthcare industry experience/knowledge and support ODS in its Product Development. The Medical Coder will document all applicable...

To independently and efficiently perform the responsibilities assigning accurate diagnosis and procedures codes to the patients health information records for: Emergency Department (ED), Ambulatory Surgical Center (ASC), Hospital Ambulatory Surgical Center (HAS), Observations (OBS), Inpatient (IP) and other selected facility records. Maintain an acceptable level of performance in quality and productivity for ICD-10-CM, ICD-10-PCS, and HCPCS/CPT classification and nomenclature systems. All work will be carried out in accordance with the: International Classification of Diseases - Official Coding Guidelines for coding and reporting as established by the Centers for Medicare and Medicaid Services (CMS) and the National Center for Health Statistics (NCHS); American Medical Association (CPT); National Correct Coding Initiative (NCCI); Uniform Hospital Discharge Data Set (UHDDS), Medicaid (OMAP), and Kaiser Permanente organization/institutional coding directives. Ability to communicate...

Job Description Risk Adjuster Coder The HCC Risk Adjustment Coder works within the Risk Adjustment Team to review medical records and translate them into risk-adjustable ICD-10 codes. The HCC Risk Adjustment Coder is meticulous and diligent in an attempt to ensure the risk accuracy of each member enrolled in a Centers Plan for Healthy Living's Medicare Plan. Essential Duties and Responsibilities: * Reviews, analyzes and codes diagnostic information located in a member's medical record * Ensures compliance with established ICD-10 coding guidelines and regulations * Compiles educational materials and trains providers regarding proper coding protocols * Participates in quality improvement initiatives * Completes other duties, as assigned Knowledge, Skill Set & Qualifications Required * AHIMA certified credentials (RHIA, RHIT, CCS) or AAPC certified credentials (CPC, CPCH, COC, CIC, or CRC). * 2 years of HCC Risk Adjustment coding experience * Proficiency in Microsoft Excel * A...