Risk Adjustment Coder

Immediate need for a Risk Adjustment Coder. This is a 12 Months Contract opportunity with long-term potential and is US (Remote). Please review the job description below and contact me ASAP if you are interested.
 
Job Diva ID: 26-07621
 
Pay Range: $22.00 - $28.00/hour.  Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location).

Key Responsibilities:

• Review and code inpatient and outpatient medical records using ICD-9 and ICD-10 guidelines
• Ensure coding accuracy for CMS Risk Adjustment and HCC models
• Participate in RADV audit reviews, validating diagnosis codes using medical documentation
• Conduct forensic review of past audits to support the HCC Trend Tracker project
• Serve as a Coding Liaison for third-pass audit reviews
• Perform quality assurance checks on submission packages before submission to government agencies
• Maintain compliance with CMS and official coding guidelines
• Defend coding decisions during internal and external audits
• Collaborate with team members to ensure accuracy and meet productivity targets

Key Requirements and Technology Experience: 

• Key Skills; Minimum 5 years of experience with risk adjustment coding
• Must have CPC or CRC
• 5 years of Risk Adjustment Coding experience
• Active Certified Professional Coder (CPC) certification
• Active Certified Risk Adjustment Coder (CRC) certification
• Experience with ICD-9 / ICD-10 coding and CMS risk adjustment guidelines
• Strong communication skills
• Proficiency in Microsoft Excel
• Certified Coding Specialist (CCS) certification
• Background as a Nurse or Medical Assistant
• Experience working in healthcare payer or hospital coding environments
• Associates or Bachelors degree 

Our client is a leading Healthcare industry , and we are currently interviewing to fill this and other similar contract positions. If you are interested in this position, please apply online for immediate consideration
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