02 Sep
HCC Coder (Risk Adjustment) - Remote
Washington, Uswa 00000 Uswa USA

Job Description

  • First pass coder will capture all dates of services and mapping HCC diagnoses
  • The Chart Review Specialist's primary responsibility is to review; analyze and report on FCHP patient charts for the purpose of validating regulatory Risk Adjustment scores.
  • Coding typically encompasses a review of client coding guidelines and coding platform functionality
  • Chart review to determine guideline and system understanding prior to release to live production
  • Evaluate Date of Service as per medical records; review existing HCPC codes; and/or ICD 10 codes
  • Update Medical records based on correct diagnosis
  • Collect diagnostic details and documentation observations from multiple chart sources to validate diagnostic profiles
  • Demonstrate the ability to oversee the chart review life cycle from scheduling access; collecting images; coding chart and updating data software
  • Must be well versed performing HCC coding

Qualifications

Qualification required:

  • Pref 1: Certified Risk Adjuster (CRC)
  • Pref 2: Certified Inpatient Coder (CIC) with facility claims coding
  • Pref 3: CPC or CCS

Must-Have:

  • Minimum 2 years of hands-on experience performing inpatient coding or coded facility claims in the last 5 years or

Expectations:

  • Able to work 40hrs a week (no part time positions)
  • Will be able to complete assigned trainings within 48hrs
  • Ability to work in a target driven work environment meeting production and quality thresholds

Additional Information

Abhishek Kumar

Phone: (201) 528 5307 Ext: 353

Cell: (201) 473 3697


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