HCC Coder / Auditor

iMedX has an immediate need for HCC Coder / Auditors. iMedX currently has one full-time position (40 hours per week) and one part-time position (20 hours per week), hourly paid, and you work from home! Demonstrated and verifiable experience in HCC Coding and the RADV validation process is required. Applicants must be based in the United States or its territories.

PURPOSE

The HCC Coder / Auditor is responsible for accurately abstracting data into appropriate client data systems, following the Official Guidelines for Coding and Reporting as well as Risk Adjustment guidelines for data collection. Client-specific guidelines may also contribute to the coding and validation process. This role will be responsible for reviewing a patient’s complete record and assigning ICD-10-CM codes and specifically those mapping to HCCs, for completeness and accuracy. Maintains consistent coding accuracy rate of 95% or better and able to meet client and corporate productivity standards @ 6 records per hour on average.

Reports To: Coding Manager

The HCC Coder / Auditor will focus primarily on ensuring accurate and complete work based on departmental objectives while ensuring client satisfaction to include the following responsibilities:

Essential Duties And Key Responsibilities

• Demonstrates knowledge of health systems operations, including an understanding of reimbursement methodologies and coding conventions
• Demonstrates ability to perform accurate and complete chart reviews for HCC/Risk Adjustment
• Possesses advanced knowledge and understanding of HCC/Risk Adjustment, coding and documentation requirements.
• Demonstrates ability to identify and communicate trends in provider coding and documentation.
• Excellent written, verbal, communication and attention to detail skills.
• Reviews submitted patient encounters to identify chronic and currently treated conditions, ensuring that HCC coding guidelines are followed.
• Ensures all diagnoses and services are accurate and complete from the patient encounter in accordance with the ICD-10-CM Official Guidelines for Coding and Reporting.
• Confirms the correct code to the highest level of specificity as documented in the patient encounter.
• Works effectively and efficiently within a team environment.
• Adaptable to shifting priorities and demonstrates willingness to do what it takes to meet client and team needs.
• Complies with policies and procedures for confidentiality of all patient records and security of systems.
• Promote the Company’s values.
• Perform other job-related duties as may be assigned or required.

Qualifications & Experience

Education:

• High school diploma or GED equivalent.
• Completion of a formally recognized coding program.
• Certified Procedural Coder (CPC) minimum acceptable coding-related credential. Preference given to those with CRC designation. CRC certification may be required within first year of employment.
• Additional acceptable credentials include: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA) or other AHIMA or AAPC approved coding credential.

Experience:

• Minimum of three to five years’ HCC coding experience required. Exhibits a sense of urgency towards work, possesses intermediate level computer skills, attention to detail, excellent customer service and written and verbal communication skills.

Physical Work Environment: Personal computer meeting the requirements of the position in a home-based environment that involves long periods of sitting with repetitive motions of hand and arm and may include frequent bending and twisting.

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Salary : $75,000 - $100,000