[Hiring] Risk Adjustment Coder @AnewHealth

Role Description

We are seeking a Professional Remote Medical Coder who will apply his or her technical and specialized expertise to help healthcare programs remain compliant with government regulations while identifying opportunities for increased financial success. The Professional Medical Coder will work from his or her home office to review, analyze, and code diagnostic and procedural information from medical records that determine payments to our clients. The primary function of this position is to perform ICD-10-CM, CPT and HCPCS coding for reimbursement.

• Perform medical record reviews and use coding principles to code to the highest specificity and comply with CMS and HIPAA regulations as well as company goals and policies.
• Perform Quantitative and Qualitative analysis of paper and electronic medical records for completeness, consistency and accuracy.
• Perform risk adjustment data validations using AHA coding guidelines.
• Interact with clients and co-workers to communicate value added information, make improvements and maintain strong partnerships.
• Be a constant learner, performing research and staying abreast of updates to remain top in his/her field.

The above essential functions are representative of major duties of positions in this job classification. Specific duties and responsibilities may vary based upon departmental needs. Other duties may be assigned similar to the above consistent with knowledge, skills and abilities required for the job. Not all of the duties may be assigned to a position.

Qualifications

• Possess valid Certified Coding Specialist designation (CCS) issued by the American Health Information Management Association, Certified Professional Coder (CPC) designation, Certified Professional Coder Apprentice (CPC-A) designation or CCA designation with at least one year of coding experience. Being a Registered Health Information Administrator (RHIA) is a plus.
• Possess at least 6 months experience coding ICD-10 CM.
• Have experience with MS Word, Excel, PowerPoint, and be comfortable learning and becoming an expert on new and proprietary software.
• Have strong written and verbal communication skills, including propensity to establish and build strong relationships.
• Take initiative to establish priorities, coordinate work activities and perform multiple and complex tasks while working independently and with minimal supervision in a remote setting.
• Be detail oriented and quick to follow instructions and learn new tasks.
• Possess a strong work ethic with impeccable integrity.
• Documentation Improvement experience, experience in Hierarchical Condition Categories (HCC), knowledge of or experience in Medicare Advantage plans and knowledge of or experience in managed health care systems, PACE or Medicare are a plus.

Requirements

• This position is administrative in nature and will present physical demands requisite to a position requiring: hearing, seeing, sitting, standing, talking, and walking.
• Must be able to commute to multiple site locations within assigned territory.
• May be necessary to work extended hours as needed.

Schedule

• This is a full-time position with an expectation to work an average of 40 hours per week.
• Be available outside of normal business hours to meet customer expectations on an ad-hoc basis.
• Schedules are set to accommodate the requirements of the position and the needs of the organization and may be adjusted as needed.
• This is a remote position.

Benefits

• Comprehensive benefit package for full-time employees that includes medical/dental/vision.
• Flexible spending.
• Company-paid life insurance and short-term disability.
• Voluntary benefits.
• 401(k).
• Paid Time Off and paid holidays.
• Medical, dental and vision coverage are effective 1st of the month following date of hire.