1099 HCC Risk Adjustment Coder

Pinnacle Healthcare Consulting LLC

11d•Remote

About The Position

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.

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
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
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
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

Nice To Haves

Associates or BS degree preferred.
Auditing experience a PLUS. ICD-10 experience/education a PLUS.
Microsoft Access and Excel Intermediate to Advanced level skills preferred

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