Remote, HCC Medical Coders at Advantmed

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Remote, HCC Medical Coders at Advantmed. Job Title: . HCC Medical Coder. Location. : Remote, US. Shift Hours:. Applicant should be available to work from 6 AM to 6 PM EST.. Pay Rate:.   $22/hr. . . The candidate must be available to consistently commit to 40 hours per week, from Monday to Friday.. . Applicants are required to possess a Windows-operated laptop/desktop with video capabilities and high-speed internet connectivity.. .  . Job Summary: . We are seeking experienced Medical Coders with a strong background in Risk Adjustment and Hierarchical Condition Category (HCC) coding. The ideal candidate will hold at least a CPC or CCS certification from AHIMA or AAPC, and higher-level certifications are highly desirable. As a Medical Coder specializing in Risk Adjustment/HCC, you will play a crucial role in ensuring accurate and compliant coding for our healthcare organization..  . Key Responsibilities:. . Review and accurately code medical records and encounters for diagnoses and procedures related to Risk Adjustment and HCC coding guidelines.. . Ensure coding is consistent with ICD-10-CM, CMS-HCC, and other relevant coding guidelines.. . Validate and ensure the completeness, accuracy, and integrity of coded data.. . Identify and resolve coding discrepancies or discrepancies between clinical documentation and diagnosis coding.. . Stay up-to-date with the latest coding guidelines, rules, and regulations related to Risk Adjustment and HCC coding.. . Adhere to all compliance and HIPAA regulations to maintain data security and patient confidentiality.. . Collaborate with healthcare providers, physicians, and other team members to clarify documentation and resolve coding queries.. . Participate in coding education and training programs to enhance coding skills and knowledge.. . Prepare and submit reports related to coding activities, coding accuracy, and any coding-related issues or trends.. . Assist in internal and external coding audits to ensure the quality and compliance of coding practices.. . Identify opportunities for process improvement and efficiency in the coding process.. . Offer suggestions to enhance coding documentation and accuracy.. . Qualifications:. . Minimum CPC or CCS certification from AHIMA or AAPC is required. Higher-level certifications such as CRC (Certified Risk Adjustment Coder) is a significant advantage.. . Minimum one to two years of experience in Risk Adjustment and HCC coding in a healthcare setting.. . Strong knowledge of ICD-10-CM coding guidelines and CMS-HCC risk adjustment methodology.. . Familiarity with electronic health record (EHR) systems and coding software.. . Excellent attention to detail, analytical skills, and ability to work independently.. . Strong communication and interpersonal skills for collaboration with medical professionals and team members.. . Understanding of compliance and confidentiality regulations, including HIPAA.. . Company Location: United States.