HCC Coder - Medical Records Coding (REMOTE)

Location: Remote

on W2 (hourly payrate)

Will this role be fully remote?: Role is fully remote

do they need to live in IL): Anywhere US (approved Client States) CANDIDATES MUST LIVE IN ONE OF THE PREFFERRED 17 STATES ((AZ, SC, MI, FL, GA, ID, IA, KY, MI, NE, NM, NY (outside greater-NYC), OH, TX, UT, WA (outside greater-Seattle), WI)

Coding for multiple concepts to determine principal diagnosis as well as working with repricing the claims

Top Skills Required: CIC or CCS coding certification

Directly responsible and accountable for performing chart reviews, physician education, and maintaining comprehensive knowledge of coding rules and regulations. Provide overall coding expertise as well as administrative and technical oversight to ensure successful integration of Client initiatives

Proficient with Microsoft Excel

Experience with facility inpatient coding

Develop an understanding of current billing practices in provider offices to ensure that diagnosis and CPT codes are submitted accordingly

Coordinate with Clinical Informatics on system errors and suggest improvements to ensure effective and efficient processes are followed

Documents results/findings from chart reviews and provides feedback to management, providers, and office staff

Creates necessary tools (educational materials, newsletters, etc.) for providers to assist them in current and accurate coding practices

Provides training and education to network of providers on how to improve their risk adjustment knowledge as well as provide coding updates related to Risk Adjustment

Monitors progress of providers to ensure Guidelines set forth by CMS (Centers for Medicare and Medicaid Services) are being followed

Builds positive relationships between providers and Client by providing coding assistance when necessary

Responsible for administrative duties such as planning, scheduling of chart reviews, obtaining of medical records, and provider training and education

Collaborates with cross-functional team to support a variety of projects such as implementation of risk adjustment applications, development of reports, etc.

Assists in coordinating management activities with other departments in Client including Finance, Revenue analytics, Claims and Encounters, and Medical Directors

Assists in coordinating CMS Data Validation activities, including record selection, tracking and submission, in conjunction with the Coding Manager of the RAMP Department

Maintains professional and technical knowledge by attending educational workshops reviewing professional publications establishing personal networks participating in professional societies

More than 2 years experience in a healthcare setting.

More than 2 years experience in coding and medical record chart review.

Active and unrestricted Coding Certification (CIC or CCS)