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Risk Adjustment HCC Coder
3 months ago
The primary function of this position is to perform ICD-10-CM coding for reimbursement through documentation review. The employee reviews, analyzes, and codes as supported by documentation. Ensure codes are accurate and sequenced correctly in accordance with government and insurance regulations .
Responsible for assigning ICD-10-CM codes to documentation received from provider offices. May conduct remote chart reviews (extracting ICD-10-CM codes and ICD-10-CM from medical records) and assign ICD-10-CM codes to documentation received for comprehensive review. Identifies providers that may need additional education on ICD-10- coding, documentation requirements, or training. Maintain 95% coding accuracy rate along with daily production.
Minimum Requirements:
- At least one year of coding experience.
- Some type of coding certification, which may include Certified Professional Coder (CPC), Certified Coding Specialist for Providers (CCS-P), Certified Coding Specialist for Hospitals (CCS-H), Registered Health Information Technician (RHIT), or Registered Health Information Administrator (RHIA), or nursing medical background.
- Extensive knowledge of ICD-10-CM and CMS coding principles and guidelines.
- Familiarity with physician-specific regulations and polices related to documentation and coding.
- Knowledgeable of Medicare Risk Adjustment.
- Proficiency with ICD-10-CM coding and guidelines.
- Must be detail oriented, self motivated, and have excellent organization skills. Candidate must possess and maintain one of the following certifications issued by American Health Information Management Association (AHIMA) or American Academy of Professional Coders (AAPC).
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
For this position, we anticipate offering an hourly rate of USD / hourly, depending on relevant factors, including experience and geographic location.
This role is also anticipated to be eligible to participate in an annual bonus plan.
We want you to be healthy, balanced, and feel secure. That's why you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna Group .
About Cigna Healthcare
Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives.
Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.
If you require reasonable accommodation in completing the online application process, please email: for support. Do not email for an update on your application or to provide your resume as you will not receive a response.
The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.
