Remote HCC Coder at The Judge Group Inc. in Chicago, Illinois

Posted in Other 8 days ago.





Job Description:

Location: REMOTE

Description: Our client is currently seeking a Remote HCC Coder. Candidate MUST live in Texas!


Under the direction of the Coding Manager, the HCC Coder is responsible for CPT and ICD-10 coding to ensure accuracy and maximum reimbursement. This individual will interface with provider partners to successfully monitor and implement an HCC coding strategy and provide coding expertise.



This job will have the following responsibilities:

  • Verify and ensure the accuracy, completeness, specificity and appropriateness of diagnosis codes based on services rendered.

  • Review medical record information to identify all appropriate coding based on CMS HCC categories.

  • Complete appropriate paperwork/documentation/system entry regarding claim/encounter information.

  • Demonstrate analytical and problem-solving ability regarding barriers to receiving and validating accurate HCC information.

  • Support and participate in process and quality improvement initiatives.

  • Schedule and perform training activities and maintain records of training.

  • Monitor the implementation of Corrective Action Plans as needed, and track implementation as it relates to HCC activities and high risk patients, especially in insuring that those patients have appropriate medical record problem lists and corresponding risk score.

  • Coordinate CMS Data Validation activities, including record selection, tracking and submission.

  • Maintain a comprehensive tracking and management tool to track all HCC activities and insure that all tasks are completed in a timely manner.

  • Correlate activities, processes and HCC results/ metrics to evaluate outcomes.




Minimum Experience





  • 1-3 years of coding experience (CPT, ICD-9/10, HCPCS)

  • 2 or more years of experience in managed care or the health care industry with focus on government programs

  • Strongly preferred Recent Quality Management experience within the last two years




Education/Licensure:





  • Minimum of High School

  • Diploma, Bachelor's Degree preferred

  • Coding Certification (CCS,CCS-P or CPC through AHIMA/AAPC or RHIT) required




ALL qualified and interested candidates please send your updated resumes to
jcolorado@judge.com
OR give Julio a call at (714) 418-5955 for immediate consideration!






Contact: jcolorado@judge.com


This job and many more are available through The Judge Group. Find us on the web at www.judge.com
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