HCC Risk Adjustment Coder (Remote)
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Scope of Work:
Remote Independent Contractor HCC Risk Adjustment Coders provide services to perform code abstraction using the Coding Guidelines for ICD-9-CM/ICD-10-CM. Projects include Commercial Risk Adjustment, Medicare Advantage Risk Adjustment, Commercial IVA (Initial Validation Audit), and Medicare RADV (Risk Adjustment Data Validation).
Perform code abstraction and/or coding quality audits of medical records to ensure ICD-9-CM/ICD-10-CM codes are accurately assigned and supported by clinical documentation
Maintain current knowledge of ICD-9-CM/ICD-10-CM codes, CMS documentation requirements, and state and federal regulations
Maintain a minimum 95% accuracy on coding quality audits
Meet minimum productivity requirements as outlined by the project terms
Handle other related duties as required or assigned
Certified Coder through AHIMA or AAPC
2-3+ years of HCC coding experience