[Hiring] HCC Risk Adjustment Coder @Pinnacle Healthcare Consulting LLC

Role Description

Pinnacle Enterprise Risk Consulting Services is actively looking to engage a REMOTE Risk Adjustment and Professional-Fee (Physician) Reviewer / Auditor / Coder for As Needed / Part-Time hours with a nationally recognized healthcare consulting company.

The primary purpose of this position is to review documentation and assign the appropriate code(s) (CPT/HCPCS, ICD, Modifier).

Responsibilities:

• Review medical record via PDF or electronic medical record system
• Abstract and assign code(s) (CPT/HCPCS, ICD, Modifier)
• Research and resolution of coding projects assigned
• Document requested information from the medical record
• Determine valid encounters including legibility and valid signature requirements
• Identify valid face to face encounters
• Perform ongoing analysis of medical record charts for the appropriate coding compliance and validate against payor guidelines and client coding protocols
• Meet daily production goal and quality goal of averaging 95% accuracy rate on a consistent basis
• Attend conference calls as necessary to provide information and/or feedback

Qualifications

• Active certified coder certification (CRC, CPC, CPMA, CCS - P) through AHIMA or AAPC
• Minimum four (4) years of experience as a certified coder/auditor in multi-specialties
• Minimum two (2) years of risk adjustment and provider evaluation and management (E/M) experience
• Ability to code ICD-10, modifier and CPT/HCPCS
• Computer proficiency (including MS Windows, MS Office, and the Internet)
• High-speed Internet access
• Knowledge of HIPAA, recognizing commitment to privacy, security, and confidentiality of all medical chart documentation
• Strong clinical knowledge related to chronic illness management, evaluation, assessment and treatment (MEAT)
• Extensive knowledge of ICD-10-CM outpatient diagnosis coding guidelines
• Reliability and a commitment to meeting tight deadlines
• Personal discipline to work remotely without direct supervision
• Exemplary attention to detail and completeness
• Strong organization, interpersonal, and customer service skills
• Written and oral communication skills
• Analytical skills

Requirements

• Holding at least one active AAPC or AHIMA certified program with the achievement of the correlating professional credential (RHIT, CPC, CCS, CPC-H etc.); in active and in good standing with the certifying organization. CPC, CPMA and CRC credentials preferred
• High School diploma required; College degree preferred
• Minimum of three (3) years of coding experience (recent hands-on production) in both areas
• Must have at least one (1) year of specialized experience in Medicare Risk Adjustment

Benefits

• 100% REMOTE - Work from home
• Flexible working schedule
• Paid training