HCC Coding Specialist

Job Summary

Reviews medical documentation from physicians and other healthcare providers; assigns diagnostic and procedure codes for symptoms, diseases, injuries, surgeries and treatments according to official classification systems and standards. Working with other departments and organizations to assure availability and quality of information and helping identify overall healthcare trends, issues and concerns.

Skills

• Three plus years of clinical and Medicare Risk Adjustment experience
• Knowledge based of clinical standards of care, preventive health standards and Medicare Risk Coding
• Ability to evaluate medical records with attention to detail
• Strong organizational skills and ability to work both independently and with teams.
• Ability to interact with medical staff, peers, and internal company staff at all levels.
• Ability to use databases and prepare reports as needed
• Required documented ICD-10 Proficiency from an accredited organization required
• Required abstracting and coding medical record information in the professional provider setting for the purpose of billing government or commercial insurance carriers or in support of Risk Adjustment/HCC diagnoses
• Remain current on changes, updates, and/or new coding guidelines
• Required proven coding skills and the ability to interpret and apply Federal and State regulations, coding and billing requirements
• Required ability to provide feedback constructively and with sensitivity
• Required demonstrated ability to identify coding trends and risk areas
• Required demonstrated knowledge of CMS reimbursement methodologies, Hierarchical Condition risk adjustment disease model categories
• Required excellent written and verbal skills
• Required ability to work with and maintain confidentiality of provider, patient, and patient account data
• Required demonstrated critical thinking skills and ability to resolve complex coding issues and perform root cause analysis
• Must have experience with data entry into a database and/or software tools
• Must have demonstrated experience with ability to work independently
• Proficiency in software applications that include, but are not limited to, Microsoft Word and Excel.

Work Setting

• Hybrid but mostly remote position is to service our Inland Empire-California area (San Bernardino City, Corona, Yucca Valley, Rancho Mirage).

Job Type: Full-time

Pay: $26.00 - $34.00 per hour

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Work Location: Hybrid remote in Apple Valley, CA 92308

Salary : $26 - $34