Medical Risk Adjustment Coder

2 weeks ago


Newark, New Jersey, United States Collabera Full time
Job Description

Job Details:

Title: Medical Risk Adjustment Coder

Location: Remote in 5 states: NJ, NY, PA, CT, and DE

Duration: 06 months of contract | Onsite

Pay: $44/Hr. to $46/Hr.

Job Description:

  • As a Subject Matter Expert, this individual will support risk adjustment coding initiatives to identify opportunities to enhance and grow the business
  • Responsible for educating and keeping management informed on current changes in regulations/guidance related to ICD-10 coding and quality documentation and reporting
  • Interface with operations and clinical leadership to assist in identification of coding & documentation improvements and promote best practices
  • Conduct mock audits or surveillance activities that target problematic diagnoses as identified by CMS and internal stakeholders
  • Can understand and translate CPT, HCPC, ICD-9/ICD-10 codes for HCC abstraction

Required Skills:

  • Requires 5+ years of Medical Coding experience
  • Requires a minimum of 5+ years' experience in Health Insurance/quality chart audits and/or Utilization Review
  • Bachelor's degree required
About the Company

Collabera, a Global Digital Solutions Company, specializes in providing Software Engineering Solutions for leading tech-oriented organizations worldwide. They cater to various sectors such as Technology, Finance, Telecommunications, and Healthcare, and have a broad presence spanning 60 locations across 11 countries. Collaborating with 30% of the Fortune 500 companies, Collabera has significantly outpaced industry growth rates for several years.


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