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The Copley Consulting Group

Risk Adjustment Coder - HCC

Job Description

Risk Adjustment / HCC Coder (Medicare Advantage)
Duration:
Contract Schedule Requirements:
Minimum 20 hours per week
Remote Required Qualifications:
Minimum 1 year of HCC coding experience Medicare Advantage Risk Adjustment coding experience required Must be able to code MA HCC and RxHCC Must pass a Risk Adjustment Coding Assessment prior to hire Certification required through AAPC or
AHIMA CRC
strongly preferred, but any active AHIMA or AAPC credential will be considered Experience with
ICD-10-CM
coding guidelines and risk adjustment data abstraction Working knowledge of EMRs, billing systems, abstraction platforms, and related coding systems Proficient with Microsoft Excel and Outlook Strong written and verbal communication skills Ability to work independently in a remote environment
Preferred Qualifications:
CRC Certification Additional coding credentials such as CPC Job Responsibilities Review, analyze, and code patient medical records according to client-specific guidelines. Assign accurate
ICD-10-CM
codes following official coding guidelines and risk adjustment requirements. Perform Medicare Advantage risk adjustment coding, including MA HCC and RxHCC coding. Follow Risk Adjustment Data Abstraction Rules and project-specific coding requirements. Maintain a minimum quality score of 95%. Meet established productivity standards and project deadlines. Ensure compliance with HIPAA, privacy, security, and confidentiality requirements. Utilize EMRs, billing systems, and abstraction platforms effectively. Communicate professionally with team members and leadership. Perform additional duties as assigned. Medical, dental, and vision insurance are available to qualified candidates who meet eligibility requirements.

Benefits

  • Health Insurance
  • Dental Insurance
  • Vision Insurance
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Total Score
76
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