REMOTE HCC Coder

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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We are an equal opportunity / affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances.

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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.