Risk Adjustment Coder

Risk Adjustment Coder

Posted 5 days ago by 1752213340

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Negotiable
Outside
Remote
USA
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Associate Chartered Accountant (ACA) Content Management Systems General Insurance Microsoft 365 Microsoft Excel Software Coding

Summary: Immediate opening for a Risk Adjustment Coder with a contract-to-permanent opportunity, offering long-term potential. The position is remote and requires expertise in coding inpatient and outpatient medical records using ICD-10. Candidates must have a minimum of two years of risk adjustment coding experience and relevant certifications. The role emphasizes adherence to coding guidelines and productivity standards.

Key Responsibilities:

  • Shifts: 7 AM - 3:30 PM EST
  • Codes, abstracts, and analyzes inpatient and/or outpatient medical records using ICD-10, coding to the highest level of specificity.
  • Code in multiple lines of business such as Marketplace (ACA) and Medicare Advantage.
  • Follows the Official ICD-10 guidelines for Coding and Reporting and understands these guidelines thoroughly.
  • Follows CMS risk adjustment guidelines and understands these guidelines completely.
  • Understands the impact of ICD-10 codes on the CMS HCC risk adjustment model.
  • Ability to meet productivity and accuracy standards.
  • Ability to defend coding decisions to both internal and external audits.

Key Skills:

  • Minimum 2 years in Risk Adjustment production coding.
  • Certification: CPC.
  • Production Coding: 2 years.
  • Intermediate level in MS Applications (Excel, MS, Outlook, Access, Teams).
  • CPC or CCS certification.
  • 2 years of medical coding experience; risk adjustment knowledge preferred.
  • Tech-savvy with knowledge of computer basics; comfortable utilizing Microsoft 365 (Word, Excel, Teams, Outlook).
  • Ability to navigate through the ICD-10-CM codebook.
  • Ability to meet productivity and accuracy standards.
  • High School Diploma & Certification.

Salary (Rate): undetermined

City: undetermined

Country: USA

Working Arrangements: remote

IR35 Status: outside IR35

Seniority Level: undetermined

Industry: Healthcare

Detailed Description From Employer:

Immediate need for a talented Risk Adjustment Coder. This is a 06+months Contract to Permanent opportunity with long-term potential and is located in US(Remote). Please review the job description below and contact me ASAP if you are interested.

Job ID: 25-77724

Pay Range: $21 - 22/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location).

Key Responsibilities:

  • Shifts: 7 AM - 3:30 PM EST
  • As a part of our hiring process, along with an option to directly connect with a Recruiter or apply online, we now offer a texting option to enhance your candidate experience. Click the link below which contains the job description and a few basic questions that will help you ensure this is a good fit and expedite the shortlisting process or you can directly email me.
  • Codes, abstracts, and analyzes inpatient and/or outpatient medical records using International Classification of Diseases, Tenth Revision (ICD-10). Always coding to the highest level of specificity.
  • Code in multiple lines of business such as Marketplace (ACA) and Medicare Advantage
  • Follows the Official ICD-10 guidelines for Coding and Reporting and has a complete understanding of these guidelines
  • Follows CMS risk adjustment guidelines and has a complete understanding of these guidelines
  • Understands the impact of ICD-10 codes on the CMS HCC risk adjustment model
  • Ability to meet productivity and accuracy standard
  • Ability to defend coding decisions to both internal and external audits

Key Requirements and Technology Experience:

  • Key Skills; Minimum 2 years in Risk Adjustment production coding
  • Certification: CPC
  • Production Coding 2 years
  • MS Applications (Excel, MS, Outlook, Access, Teams) Intermediate level
  • CPC or CCS
  • 2 years of medical coding experience, risk adjustment knowledge is preferred
  • Tech savvy Knowledge of computer basics. Comfortable utilizing Microsoft 365 (Word, Excel, Teams, Outlook)
  • Ability to navigate through the ICD-10-CM codebook
  • Codes, abstracts and analyzes inpatient and/or outpatient medical records using International Classification of Diseases, Tenth Revision (ICD-10). Always coding to the highest level of specificity.
  • Follows the Official ICD-10 guidelines for Coding and Reporting and has a complete understanding of these guidelines.
  • Ability to meet productivity and accuracy standards
  • HS Diploma & Certification

Our client is a leading Healthcare Industry and we are currently interviewing to fill this and other similar contract positions. If you are interested in this position, please apply online for immediate consideration.

Pyramid Consulting, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

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