Job Description
Insight Global is hiring HCC / Risk Adjustment Medical coders (100% REMOTE) to support a backlog for inpatient and outpatient Medicare advantage projects .
Must obtain an active Coding certification (CPC) through AAPC or AHIMA.
Will be coding more risk adjustment vs profee.
Most of the markets are strictly risk adjustment focusing on HCC ICD-10 codes only. We do code from the problem list with supporting documentation, so experience with problem list coding is a plus, but not required as not all risk adjustment coders will have experience there.
Will also be responsible to validate the CPT codes and non-HCC codes. These markets are still only reviewing Medicare Advantage members.
I would say 20-30% of our work require CPT review.
Also, most of the projects are concurrent coding. (Current progress notes, only reviewing one progress note at a time). Our concurrent coding projects will also require the coders to query the providers for conflicting documentation or lack of specificity, and occasionally suspect.
We do sometimes have retro projects that will encompass reviewing all progress notes for one patient in a one-to-two-year period.
All our retro projects are HCC coding only.
We have opportunities to review the following chart types.
Outpatient
Including all specialties acceptable for risk adjustment.
Common specialties include, but not limited to
Family Medicine
Internal Medicine
Cardiology
Pulmonology
Podiatry
Ophthalmology
Neurology
Behavior Health
Cancer Centers
Inpatient (Hospital and / or SNF)
Home visits
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Required Skills & Experience
Active CPC (Certified Professional Coder) or CCS
5-10 years HCC Coding experience
Must have concurrent coding experience
CPT review experience
Medicare inpatient and / OR outpatient experience
Ability to maintain an accuracy score of 96% and excel in a high production chart per hour environment
Nice to Have Skills & Experience
Problem list coding
Benefit packages for this role will start on the 31st day of employment and include medical, dental, and vision insurance, as well as HSA, FSA, and DCFSA account options, and 401k retirement account access with employer matching.
Employees in this role are also entitled to paid sick leave and / or other paid time off as provided by applicable law.