Risk Adjustment Coder

Risk Adjustment Coder

Posted 1 week ago by 1753275335

Apply
Negotiable
Outside
Remote
USA
Apply
Content Management Systems General Insurance Microsoft 365 Microsoft Excel Software Coding

Summary: Immediate opportunity for a Risk Adjustment Coder on a 6+ month contract basis, with potential for long-term engagement. The position is remote, but candidates must be located in EST/CST states. The role involves reviewing medical records and coding using ICD-10 guidelines, with a focus on risk adjustment. Candidates should possess relevant certifications and experience in medical coding.

Key Responsibilities:

  • Coders will work daily reviewing medical records abstracting HCCs for members.
  • Coders will also work on additional special projects as needed dependent on business needs.
  • 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.
  • 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 standards.
  • Ability to defend coding decisions to both internal and external audits.
  • Performs other duties as assigned.

Key Skills:

  • Certified Professional Coder (CPC) or Certified Coding Specialist (CCS).
  • 2 years of medical coding experience, risk adjustment knowledge is preferred.
  • Microsoft Office Suites is required.
  • Follows the Official ICD-10 guidelines for Coding and Reporting and has a complete understanding of these guidelines.
  • Knowledge of computer basics. Comfortable utilizing Microsoft 365 (Word, Excel, Teams, Outlook).
  • Ability to navigate through the ICD-10-CM codebook.
  • Candidates who are enthusiastic and pay close attention to detail, ability to work under pressure as we pivot between multiple projects dependent on business needs.

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 opportunity with long-term potential and is located in Candidate must be local to EST/CST states(Remote). Please review the job description below and contact me ASAP if you are interested.
Job ID:25-79224

Pay Range: $22 - $24/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:

  • Coders will work daily reviewing medical records abstracting HCCs for members.
  • Coders will also work on additional special projects as needed dependent on business needs.
  • 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.
  • 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 standards
  • Ability to defend coding decisions to both internal and external audits.
  • Performs other duties as assigned.

Key Requirements and Technology Experience:

  • Skills-Certified Professional Coder (CPC) or Certified Coding Specialist (CCS).
  • 2 years of medical coding experience, risk adjustment knowledge is preferred.
  • Microsoft Office Suites is required.
  • Follows the Official ICD-10 guidelines for Coding and Reporting and has a complete understanding of these guidelines.
  • Knowledge of computer basics. Comfortable utilizing Microsoft 365 (Word, Excel, Teams, Outlook).
  • Ability to navigate through the ICD-10-CM codebook.
  • Candidates who are enthusiastic and pay close attention to detail, ability to work under pressure as we pivot between multiple projects dependent on business needs.

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.
By applying to our jobs you agree to receive calls, AI-generated calls, text messages, or emails from Pyramid Consulting, Inc. and its affiliates, and contracted partners. Frequency varies for text messages. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You can reply STOP to cancel and HELP for help. You can access our privacy policy .

Apply
Similar Jobs
Loading data...