Job Description
Seeking HCC Coders for a remote Coding Project.
MUST HAVE HUMANA EXPERIENCE
$21-$23 hr
Medical, dental, and vision insurance are available to qualified candidates who meet eligibility requirements
Responsibilities - Ability to review medical records for accurate, compliant, and complete diagnosis code abstraction for Medicare, Commercial and Medicaid risk adjustment from various chart types (physician, facility, and non-facility).
- May have special projects that will entail a full coding review.
- Ability to code following the ICD-10-CM Official Guidelines for Coding and Reporting, AHA's Coding Clinic and well as Cotiviti and client specific coding guidelines.
- Intermediate skills and knowledge of computers with the ability to use the designated coding platform for coding processes with focus on both production and accuracy.
- Ability to regularly and consistently achieve over 95% quality accuracy.
- Appropriately communicate with management regarding workload, production expectations and deliverables.
- Utilizes the 'Dispute Resolution' process when disagreement occurs related to a coding determination.
- Stays current on coding guidelines necessary for the position by attending all Cotiviti required trainings, workshops, and personal research as appropriate.
- Professionally communicates finds, errors, and suggestions to Team Lead to facilitate on-going communications and efficient department operations as part of a continuous improvement process.
- Quick learner with positive attitude.
- Complete all responsibilities as outlined on annual Performance Plan.
- Complete all special projects and other duties as assigned.
Qualifications
Education : Minimum High School Diploma.
Certifications : Nationally certified coder in good standing through AAPC or AHIMA (CRC, CPC, CCS, etc.).
Experience :
- 1-2 years' experience in medical risk adjustment / HCC coding.
- Experience in HCC record abstraction and coding requirements.
Knowledge, Skills & Abilities:
- Demonstrated high level of quality accuracy and productivity in clinical coding work.
- Adherence to official coding guidelines (including coding clinics, CMS, client specific guidelines and other regulatory compliance guidelines and mandates).
- Excellent written and verbal communication skills with the ability to understand and explain complex information.
- Strong knowledge of medical terminology and anatomy and physiology.
- Skills in organization and time management.
- Comfortable with computers and technology.
- Must be able to work in a fast-paced environment.
- Ability to manage and meet deadlines, adapt to changing priorities, flexible and open to new ideas.
- Must be able to perform duties with or without reasonable accommodation.
- Must participate in all required training.
- Must abide by all HIPAA and associated patient confidentiality requirements.
- This is a home-based position and requires individuals to work within the continental US, have a place to work that is free from distractions and have a high-speed internet connection.
- This role is aligned to certain productivity and quality requirements.
- Required hours for training: Monday-Friday 8 AM - 5 PM ET
- Required working hours: 40 hours per week, Monday-Friday 8-hour days; daytime schedule based on your time zone. This role is not intended to work nights, weekends or part-time.
Mental Requirements:
- Excellent written and communication skills with the ability to understand and explain complex information.
- Ability to regularly and consistently achieve over 95% quality accuracy.
- Ability to appropriately communicate with management regarding workload, production expectations and deliverables.
- Quick learner with positive attitude.
- Must be able to work in a fast-paced environment.
- Ability to manage and meet deadlines.
- Adaptability to changing priorities, flexible and open to new ideas.
Medical, dental, and vision insurance are available to qualified candidates who meet eligibility requirements.
Job Tags
Part time, Remote work, Work from home, Monday to Friday, Flexible hours, Night shift, Weekend work