Clinical Risk Adjustment Medical Coders- Remote- Starting at $28- Full Time!
BroadPath is immediately hiring Clinical Risk Adjustment Medical Coders to join our remote team. Our work at home Risk Adjustment Medical Coders will be responsible for accurately coding insurance claims into the database system, ensuring compliance with all regulatory requirements and facilitating seamless claims processing.
Responsibilities
Assign appropriate ICD-10, CPT, and HCPCS codes to diagnoses and procedures for insurance claims.
Accurately enter coded information into the database system to ensure timely and precise claims processing
Ensure all coding and data entry practices adhere to federal regulations, payer guidelines, and company policies.
Analyze and review medical records to verify completeness and accuracy of coding information.
Communicate effectively with healthcare providers to clarify diagnoses and obtain additional information when needed.
Collaborate with internal departments or vendor to address and resolve any coding-related issues or... discrepancies
Meet all department goals and process workload in a timely and efficient manner by CMS deadlines.
Supports quality improvement interventions by collecting medical records data
Data extraction, financial reconciliation, and analytics
Participate in discussions with respect to ongoing projects
Production and presentation of results to senior leaders
Perform ad hoc analysis for multiple product lines
Multi-tasking, ability to manage at macro level and dig deep into issues for successful resolution.
Qualifications
Must have a valid Medical Coder certification from AHIMA or AAPC:
Certified Coding Specialist (CCS), Certified Coding Specialist-Physician Based (CCS-P), and Risk Adjustment Coding (RAC).
Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Risk Adjustment Coder (CRC), Certified Inpatient Coder (CIC)
Required Qualifications
Minimum 2-5 years experience in Risk adjustment/HCC coding
Must be able to identify risk adjustment codes/models.
Must be a critical thinker.
Expert knowledge of Medicare severity adjustment processes and tools
1+years of experience working with Risk Adjustment in Medicare Advantage, Medicaid, and/or ACA
Preferred Qualifications
Recent experience preferred (within last year)
Experience with multiple vendors and/or health plans preferred
Diversity Statement
At BroadPath, diversity is our strength. We embrace individuals from all backgrounds, experiences, and perspectives. We foster an inclusive environment where everyone feels valued and empowered. Join us and be part of a team that celebrates diversity and drives innovation!
Equal Employment Opportunity/Disability/Veterans
If you need accommodation due to a disability, please email us at [email protected]. This information will be held in confidence and used only to determine an appropriate accommodation for the application process
BroadPath is an Equal Opportunity Employer. We do not discriminate against our applicants because of race, color, religion, sex (including gender identity, sexual orientation, and pregnancy), national origin, age, disability, veteran status, genetic information, or any other status protected by applicable law.
Job Types: Full-time, Contract
Pay: From $28.00 per hour
Expected hours: 40.00 per week
Experience:
Risk adjustment/HCC coding: 2 years (Required)
License/Certification:
Certified Professional Coder (Required)
Work Location: Remote
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