HCC/ Profee Coding Specialist

CorroHealth

1d • Remote

About The Position

Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals. We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success. JOB SUMMARY: Risk Adjustment Coding Specialists are an important part of the Team at CorroHealth. The HCC Coding Team Member will review medical records to abstract ICD-10 codes, specifically those that map to HCCs, RxHCCs, and ESRD models. Coders will follow Medicare guidelines, ICD-10-CM guidelines as well as client specific requirements. Additionally, must have Profee coding experience.

Requirements

• All coders MUST be certified through either the AAPC or AHIMA. (Apprenticeship designations are not accepted.) Acceptable credentials would be CPC, CRC, COC, RHIA, RHIT, CCS, or CCS-P.
• Must have at least a minimum of 2 years of paid HCC coding experience as well as 6 months of Professional Fee/ Outpatient paid coding experience.
• Must have working knowledge and experience with systems such as EMRs, Billing systems, abstraction platforms, etc.
• Must have a phone, reliable internet connection and current coding materials such as ICD-10-CM coding references.
• Team Member must be able to work from home and be independent in their coding skills.
• Must be proficient in Microsoft programs like Excel and Outlook. Examples include: Excel: you should be able to open and add to a spreadsheet, perform basic formulas like adding or multiplying. Outlook: you should be able to manage emails and schedule and attend meetings.
• Ability to communicate effectively and professionally both verbally and written.
• Ability to coordinate, analyze, observe, make decisions, and meet deadlines.

Responsibilities

• Review, analyze and code patient medical records based on client specific guidelines for the project.
• Follow ICD-10-CM Coding Guidelines and interpret coding guidelines for accurate code assignment.
• Follow Risk Adjustment Data Abstraction Rules.
• Follow client/project specific guidelines.
• Will be required to maintain a quality score of 95% or higher.
• Will be required to maintain an ongoing productivity level based on project requirements.
• Ensure individual compliance with all privacy and security rules and regulations and commit to the protection of all Company confidential information, including but not limited to, Personal Health Information.
• May be required to perform other duties as assigned by Leadership Team Member.

What This Job Offers

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