Remote, HCC Medical Coders (5037) Job at Advantmed, Irvine, CA

ZFRoRWoyZXN2Ykx6dHJkV3JmajRPZm1Ldnc9PQ==
  • Advantmed
  • Irvine, CA

Job Description

Job Description

Job Description

Job Title: Medical Coder
Location : Remote, US
Job Type: Full-time / Permanent
Shift Hours: Applicant should be available to work from 6 AM to 6 PM CST.
Pay Rate: Starting pay is $20/hr with benefits, with the opportunity to earn up to $27/hr based on your productivity and accuracy levels through performance pay.


Applicants are required to possess a Windows-operated laptop/desktop with video capabilities and high-speed internet connectivity.

Job Summary: We are seeking experienced Medical Coders with a strong background in Risk Adjustment and Hierarchical Condition Category (HCC) coding. The ideal candidate will hold at least a CPC or CCS certification from AHIMA or AAPC, and higher-level certifications are highly desirable. As a Medical Coder specializing in Risk Adjustment/HCC, you will play a crucial role in ensuring accurate and compliant coding for our healthcare organization.

Key Responsibilities:
  • Review and accurately code medical records and encounters for diagnoses and procedures related to Risk Adjustment and HCC coding guidelines.
  • Ensure coding is consistent with ICD-10-CM, CMS-HCC, and other relevant coding guidelines.
  • Validate and ensure the completeness, accuracy, and integrity of coded data.
  • Identify and resolve coding discrepancies or discrepancies between clinical documentation and diagnosis coding.
  • Stay up-to-date with the latest coding guidelines, rules, and regulations related to Risk Adjustment and HCC coding.
  • Adhere to all compliance and HIPAA regulations to maintain data security and patient confidentiality.
  • Collaborate with healthcare providers, physicians, and other team members to clarify documentation and resolve coding queries.
  • Participate in coding education and training programs to enhance coding skills and knowledge.
  • Prepare and submit reports related to coding activities, coding accuracy, and any coding-related issues or trends.
  • Assist in internal and external coding audits to ensure the quality and compliance of coding practices.
  • Identify opportunities for process improvement and efficiency in the coding process.
  • Offer suggestions to enhance coding documentation and accuracy.

Requirements

Qualifications:

  • Minimum CPC or CCS certification from AHIMA or AAPC is required. Higher-level certifications such as CRC (Certified Risk Adjustment Coder) is a significant advantage.
  • Minimum two years of experience in Risk Adjustment and HCC coding in a healthcare setting.
  • Strong knowledge of ICD-10-CM coding guidelines and CMS-HCC risk adjustment methodology.
  • Familiarity with electronic health record (EHR) systems and coding software.
  • Excellent attention to detail, analytical skills, and ability to work independently.
  • Strong communication and interpersonal skills for collaboration with medical professionals and team members.
  • Understanding of compliance and confidentiality regulations, including HIPAA.

Job Tags

Permanent employment, Full time, Shift work,

Similar Jobs

Interrupt Labs

Senior Vulnerability Researcher - US Job at Interrupt Labs

 ...for passionate people who have a background in: vulnerability research, offensive security, reverse engineering The role:...  ...year The location: You'll have the opportunity to work remote within the DC Metro area / North Virginia. NOTE: US citizenship... 

Northeast Healthcare Recruitment, Inc.

Urgent Care Physician Job at Northeast Healthcare Recruitment, Inc.

Well respected Urgent Care in Trumbull, CT. is seeking either an Urgent Care/Emergency/ Internal Medicine or Family Medicine Physician due to expanding coverage.New graduates welcome to applyCenters are opening 7 days per week. 8a-8p M-F and 8a-8p weekends.Part Time... 

Atlassian

Site Reliability Engineer Intern, 2025 Summer U.S. Job at Atlassian

 ...Site Reliability Engineer Intern, 2025 Summer U.S. Site Reliability Engineering | Mountain View, United States...  ...an impact on how millions of users collaborate and use software. We're in the business of developing software to help teams everywhere get amazing ideas on... 

Lorven technologies

Urgent Job Opening - Metasolv Lead Developer - 100% REMOTE Job at Lorven technologies

 ...Role: Metasolv Lead Developer Location: 100% REMOTE CONTRACT ROLE Job Description: Lead needs to be onshore Must have experience in Metasolv M6 Inventory system o Configuring and Coding Metasolv along with knowledge of Telecom Inventory... 

Equinox

Personal Trainer, Mamaroneck Job at Equinox

Job Description As an Equinox personal trainer your career becomes an empowered lifestyle founded on maximizing both your personal and client...  ...Secure a stronger future and help us redefine the science of fitness and the art of living. PRIMARY RESPONSIBILITIES AS A...