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Risk Adjustment Clinical Reviewer Specialist @CorroHealth Inc

[Hiring] Risk Adjustment Clinical Reviewer Specialist @CorroHealth Inc

Apr 03, 2025 - CorroHealth Inc is hiring a remote Risk Adjustment Clinical Reviewer Specialist. 💸 Salary: unspecified. 📍Location: USA.

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more.

Role Description

Risk Adjustment Coding Specialists are an important part of the Team at CorroHealth. The HCC Coding Team Member will review medical records to abstract ICD-10 codes, specifically those that map to HCCs, RxHCCs, and ESRD models. Coders will follow Medicare guidelines, ICD-10-CM guidelines as well as client specific requirements.

  • Review, analyze and code patient medical records based on client specific guidelines for the project.
  • Follow ICD-10-CM Coding Guidelines and interpret coding guidelines for accurate code assignment.
  • Follow Risk Adjustment Data Abstraction Rules.
  • Conduct prospective & concurrent reviews.
  • Run queries.
  • Follow client/project specific guidelines.
  • Maintain a quality score of 95% or higher.
  • Maintain an ongoing productivity level based on project requirements.
  • Ensure compliance with all privacy and security rules and regulations.
  • Protect all Company confidential information, including Personal Health Information.

Qualifications

  • All coders MUST be certified through either the AAPC or AHIMA (Apprenticeship designations are not accepted).
  • Acceptable credentials include CPC, CRC, COC, RHIA, RHIT, CCS, or CCS-P.
  • Must have at least a minimum of 2 years of HCC coding experience doing Prospective and Concurrent reviews.
  • Experience running and sending queries.
  • Must have working knowledge and experience with systems such as EMRs, Billing systems, abstraction platforms, etc.
  • Must have a phone, reliable internet connection and current coding materials such as ICD-10-CM coding references.
  • Team Member must be able to work from home and be independent in their coding skills.
  • Must be proficient in Microsoft programs like Excel and Outlook.
  • Ability to communicate effectively and professionally both verbally and written.
  • Ability to coordinate, analyze, observe, make decisions, and meet deadlines.

Requirements

  • May be required to perform other duties as assigned by Leadership Team Member.

Physical Demands

  • Regular eye-hand coordination and manual dexterity is required to operate office equipment.
  • The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required.
  • At times, Team Members are subject to sitting for prolonged periods.
  • Infrequently, Team Member must be able to lift and move material weighing up to 20 lbs.
  • Team Member may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines.

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📍 Be aware of the location restriction for this remote position: USA
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Back to Remote jobs  >   All others
Risk Adjustment Clinical Reviewer Specialist @CorroHealth Inc
All others
Salary 💸 unspecified
Remote Location
USA
Job Type full-time
Posted Apr 03, 2025
Apply for this position Unlock 55,311 Remote Jobs
️
📍 Be aware of the location restriction for this remote position: USA
‼ Beware of scams! When applying for jobs, you should NEVER have to pay anything. Learn more.
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