HCC Risk Adjustment Coder Certified

• Location: Remote
• Department: Revenue Cycle Management
• Schedule: Full-time | Day Shift

#Nextgenheatlhcare

• Assign accurate ICD, CPT, and HCC codes to handle complex cases.
• Query & Collaborate: Query physicians to clarify ambiguous, incomplete, or unclear record documentation, and provide appropriate education to physicians and associates.
• Conduct internal coding and physician documentation audits while maintaining strict adherence to AHIMA's Standards of Ethical Coding and official guidelines.
• Strong knowledge of ICD-10, CMS guidelines and HCC/ Risk Adjustment and complex coding
• CPC, CCS-P or CRC required with at least 3 years of direct coding experience

Licensure / Certification / Registration

• Required Credential(s):
  • One or more of the following:
    • Certified Coding Specialist (CCS) credentialed from the American Health Information Management Association (AHIMA) obtained prior to hire date or job transfer date. Any specialty is acceptable.
    • Certified Professional Coder (CPC) credentialed from the American Academy of Professional Coders (AAPC) obtained prior to hire date or job transfer date. Any specialty is acceptable.
    • Coder specializing in Cardiac credentialed from the American Academy of Professional Coders (AAPC) obtained prior to hire date or job transfer date.
    • Reg Health Info Admnstr credentialed from the American Health Information Management Association (AHIMA) obtained prior to hire date or job transfer date.
    • Reg Health Info Tech credentialed from the American Health Information Management Association (AHIMA) obtained prior to hire date or job transfer date.

Education

• High School diploma equivalency OR 1 year of applicable cumulative job specific experience required. *Note: Required professional licensure/certification can be used in lieu of education or experience, if applicable.

Additional Preferences:

• Epic
• Chronic conditions
• RHIT