1099 HCC Risk Adjustment Coder

Remote- Part-Time HCC Risk Adjustment Coder 1099

Pinnacle Health Consultants

Denver, Colorado, United States (Remote)

Full Job Description:

Pinnacle Healthcare Consulting is actively hiring for a REMOTE Risk Adjustment Medical Coder for Part-Time hours with a nationally recognized healthcare consulting company that is known for championing innovation, leading from the front with technology, and transforming the healthcare system.

What You Want to Know

•    100% REMOTE - Work from home

•    Flexible working schedule

•    Paid training

•    Successful completion of at least one AHIMA or AAPC certified program with the achievement of the correlating professional credential (RHIT, CCS, CPC-H etc.); active and in good standing. A CPC credential is required, and the CRC certification is REQUIRED within 90 days of start date

•    High School diploma required. Associates or BS degree preferred.

•    Minimum of three years of coding experience (recent hands-on production). Must have at least 1 year of specialized experience in Medicare Risk Adjustment disciplines- such as HCC, CCC HEDIS

•    Auditing experience a PLUS. ICD-10 experience/education a PLUS.

What Will You Be Doing:

The primary purpose of this position is to assign the appropriate diagnostic and procedural (if applicable) ICD/CPT codes to individual participant health information for data retrieval, analysis, and claims processing. The certified risk adjustment coding specialist will abstract data from medical record within specified time frames and retain, validate, and provide specialized education regarding documentation to support HCC's.

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

•    Attend conference calls as necessary to provide information and/or feedback

Position Requirements:

•    Active certified coder certification (CRC, CPC, CCS - P) through AHIMA or AAPC

•    Minimum 5 years of experience as a certified coder

•    Minimum 3 years of risk adjustment experience

•    Ability to code using an ICD-10-CM code book

•    Computer proficiency (including MS Windows, MS Office, and the Internet

•    High-speed Internet access

Skill Requirements: 

Thorough knowledge of medical terminology and ICD-9-CM documentation. Understanding of both the medical and business side of healthcare operations. Ability to read and understand Medicare guidelines. Professional, highly organized, self-motivated, detail-oriented, and energetic team player who can also work independently. Ability to multi-task in a fast-paced environment. Must be detail oriented. Strong computer skills including MS Office particularly Excel and Word, Internet, and E-mail, the ability to navigate internal network and external internet data portals required, Microsoft Access and Excel Intermediate to Advanced level skills preferred. Strong organization skills and an ability to work autonomously required. Enjoys working in a team environment and participating in the development of departmental quality initiatives.

Excellent problem-solving ability and strong interpersonal skills and the ability to write clearly and succinctly in a variety of communication settings and styles. Ability to effectively communicate with multi-level personnel, medical professionals, clients, public and other representatives of the business. Excellent verbal and written communication skills. Self-starter with ability to learn quickly. Ability to successfully work on multiple projects/accounts simultaneously with frequent interruptions.

Must Haves:

•    Knowledge of HIPAA, recognizing a commitment to privacy, security, and confidentiality of all medical chart documentation

•    Strong clinical knowledge related to chronic illness diagnosis, treatment, and management

•    Extensive knowledge of ICD-10-CM outpatient diagnosis coding guidelines (knowledge and demonstrated understanding of Risk Adjustment coding and data validation requirements is highly preferred)

•    Reliability and a commitment to meeting tight deadlines

•    Personal discipline to work remotely without direct supervision

•    Exemplary attention to detail and completeness

•    Strong organization, interpersonal, and customer service skills

•    Written and oral communication skills

•    Analytical skills