HCC Coding Specialist (Remote)

Optima Medical•Remote, Arizona Only, AZ
•Hybrid

About The Position

Optima Medical is an Arizona-based medical group with 30 locations and over 130 medical providers, serving more than 200,000 patients. Their mission is to improve the quality of life in Arizona and Nevada by helping communities "Live Better, Live Longer" through personalized healthcare, focusing on preventing the nation's top leading causes of death. They offer a full spectrum of services beyond primary care, including cardiovascular health, behavioral health, allergy testing and immunotherapy, in-house lab testing, imaging, chronic disease management, and other specialty health services. They are seeking a Medical Coding Specialist to join their team. This role will transition to a fully remote position after the first 30 days, which must be completed onsite at their Scottsdale office. Candidates must reside in Arizona to be eligible for the remote aspect of the role.

Requirements

  • Minimum of 1 year of coding experience in Risk Adjustment.
  • Must have a coding certification through AAPC or AHIMA (CPC, CRC, etc.), NO CPC-A or CCA.
  • Ability to consistently maintain a high level of accuracy working in a fast-paced production environment.
  • High school diploma or equivalent.
  • High level of competency in Microsoft Outlook, Word, and Excel.
  • Strong written and verbal communication skills.
  • Works independently under regular supervision.
  • Must live in Arizona.

Nice To Haves

  • 2 years of coding experience in Risk Adjustment.

Responsibilities

  • Perform code abstraction of medical records, diagnostic imaging, etc. to ensure ICD-10-CM codes to identify diagnoses relevant for HCC risk adjustment are accurately assigned and supported by clinical documentation.
  • Identify diagnosis and chart level impairments and documentation improvement opportunities for provider education.
  • Assist by making recommendations for process improvements to further enhance coding goals and outcomes.
  • Maintain current knowledge of ICD-10-CM codes, CMS documentation requirements, and state and federal regulations.
  • Meet minimum productivity requirements as outlined by the project terms.
  • Handle other related duties as required or assigned.

Benefits

  • medical
  • vision
  • dental
  • 401k
  • paid holidays
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