Coder Outpatient

UCHealth•Denver, CO
•Remote

About The Position

The Coder Outpatient assigns codes to medical diagnoses and procedures using the appropriate coding classifications for assigned areas and record types. This role focuses on Hierarchical Condition Category (HCC) and Risk Adjustment coding, reviewing clinical documentation to accurately capture chronic conditions, disease burden, and risk-adjusted diagnoses in accordance with CMS and payer guidelines. The position is 100% remote; eligible out-of-state candidates may be considered. The position is full-time, scheduled for 80 hours per two-week pay period, on the day shift. Pay is $24.11–$36.17 per hour, dependent on relevant experience. Applicants should include their AAPC or AHIMA certification number in their resume or application.

Requirements

  • High school diploma or GED.
  • Include an AAPC or AHIMA certification number in the resume or application.
  • Coding-related certification from AHIMA or AAPC, as determined at the position level.
  • RHIA, RHIT, CCS, CCS-P, CCA, CPC, or CPC-H credential within one year.

Nice To Haves

  • Experience with Medicare Advantage and Risk Adjustment coding.
  • Knowledge of HCC models, RAF scoring, and chronic condition documentation requirements.
  • Experience performing retrospective or concurrent chart reviews to identify missed HCC opportunities.
  • Certified Risk Adjustment Coder (CRC) certification through AAPC is strongly preferred.

Responsibilities

  • Review medical records and determine appropriate diagnostic and procedural code assignments using the appropriate classification systems.
  • Assign charges for applicable clinics and departments, as appropriate.
  • Communicate with the department manager or supervisor about coding, compliance, and documentation issues.
  • Seek clarification from healthcare providers or other designated resources to ensure accurate and complete coding.
  • Maintain and enhance coding knowledge and skills through continuing education and review of pertinent literature.
  • Review provider documentation and assign accurate HCC and Risk Adjustment diagnoses in accordance with CMS and payer guidelines, ensuring complete documentation and compliant code capture.
  • Use critical thinking and decisive judgment, work with minimal supervision, and take appropriate action in a fast-paced environment.

Benefits

  • Three-Year Incentive Bonus.
  • Annual merit pay increases and annual market reviews of positions and base pay.
  • Medical, dental, and vision coverage.
  • 24/7 mental health and well-being support for employees and dependents.
  • Discounted gym memberships and fitness resources.
  • Free Care.com membership.
  • Voluntary benefits, including accident insurance, critical illness insurance, group legal plan, identity theft protection, pet insurance, auto and home insurance, and employee discount programs.
  • Paid time off, paid family and medical leave, and leaves of absence.
  • Employer-provided basic life and accidental death and dismemberment coverage, with buy-up options.
  • Employer-provided short-term and long-term disability coverage, with a buy-up option.
  • 403(b) retirement plan with employer matching contribution; an additional 457(b) plan may be available.
  • Flexible spending accounts for health care and dependent day care; a health savings account is available to employees enrolled in a high-deductible medical plan.
  • Access to academic degrees and certificate programs.
  • For specific educational degrees, up to 100% of tuition, books, and fees paid by UCHealth; other programs may qualify for up to $10,000 per year prepaid or up to $5,250 per year in tuition reimbursement.
  • Access to LinkedIn Learning and internal professional development opportunities.
  • Free assistance navigating the Public Service Loan Forgiveness program and submitting federal student loans for forgiveness.
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