Risk Adjustment Coder

AnewHealth • NJ - Remote, NJ

7d • Remote

About The Position

AnewHealth is seeking a Professional Remote Medical Coder to review, analyze, and code diagnostic and procedural information from medical records to support reimbursement, regulatory compliance, and accurate health care data. The position performs ICD-10-CM, CPT, and HCPCS coding and helps ensure compliance with coding guidelines, third-party reimbursement policies, regulations, and accreditation guidelines. The role is remote and works from a home office.

Requirements

• Hold a valid Certified Coding Specialist (CCS) designation from AHIMA, Certified Professional Coder (CPC), Certified Professional Coder Apprentice (CPC-A), or CCA designation with at least one year of coding experience.
• Have at least six months of ICD-10-CM coding experience.
• Have experience with MS Word, Excel, and PowerPoint, and be comfortable learning proprietary software.
• Have strong written and verbal communication skills and the ability to establish and build strong relationships.
• Be able to work independently with minimal supervision in a remote setting, set priorities, coordinate work activities, and perform multiple complex tasks.
• Be detail-oriented, follow instructions, and learn new tasks quickly.
• Demonstrate a strong work ethic and impeccable integrity.
• Be able to meet the physical demands of an administrative role, including hearing, seeing, sitting, standing, talking, and walking.
• Be able to commute to multiple site locations within the assigned territory.
• Be available to work extended hours as needed and outside normal business hours on an ad-hoc basis.

Nice To Haves

• Registered Health Information Administrator (RHIA) credential.
• Documentation Improvement experience.
• Experience in Hierarchical Condition Categories (HCC).
• Knowledge of or experience in Medicare Advantage plans, managed health care systems, PACE, or Medicare.

Responsibilities

• Review medical records and apply coding principles to code to the highest specificity while complying with CMS and HIPAA regulations and company goals and policies.
• Perform quantitative and qualitative analysis of paper and electronic medical records for completeness, consistency, and accuracy.
• Perform risk adjustment data validations using AHA coding guidelines.
• Communicate value-added information with clients and coworkers, make improvements, and maintain strong partnerships.
• Research and stay current with updates in the field.

Benefits

• Medical, dental, and vision coverage
• Flexible spending account
• Company-paid life insurance
• Short-term disability
• Voluntary benefits
• 401(k)
• Paid time off
• Paid holidays

What This Job Offers

• Job Type: Full-time
• Education Level: No Education Listed