Risk Adjustment Coder

Peak Performers has partnered with a managed care organization to assist in their search for a remote Risk Adjustment Coder in CST or EST. In this contract position, you will be responsible for c oding, abstracting and analyzing inpatient and/or outpatient medical records using the most current International Classification of Diseases, tenth Revision (ICD-10) for CMS risk adjustment purposes.

Major duties

• 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.
• Codes 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 standards
• Ability to defend coding decisions to both internal and external audits.
  
  

What are we looking for?

• 2 years of experience in professional coding experience either in a hospital or physician setting
• Medical coders with the capability of paying close attention to detail with the documentation that is presented within a record in the system and have the ability to abstract diagnosis codes from scratch
• Someone who can index the diagnosis code from their ICD-10 code book
• High School or GED required but Bachelor's Degree preferred
• Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) required
• 95% accuracy
• This candidate WILL NOT be able to rely on AI or asynchronous coding
  
  

Exciting Opportunity Details

• Rate: $27.61/hour
• W2 Contract
• Worksite Location: Remote in CST or EST
• Remote
• 6 month contract
  
  

The Peak Performers difference

• Excellent medical health, dental & vision insurance at 60 days
• Our employees may choose to participate in a 403(b) retirement plan
• Qualified applicants with chronic medical conditions and/or disabilities receive priority placement
• We pay weekly through direct deposit
• In business since 1994 and thousands of job placements
  
  

All employment offers are contingent on the successful completion of a pre-employment criminal background check, in compliance with all applicable federal and state laws.

Applicants for employment with Peak Performers must possess work authorization that does not require sponsorship for a visa now or in the future.

Peak Performers is an equal opportunity employer and will consider all applicants without regard to race, marital status, sex, age, color, religion, national origin, veteran status, disability or any other characteristic protected by law. Peak Performers does not accept unsolicited resumes from headhunters, recruitment agencies or fee-based recruitment services.

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