Payer Coding Ops Hourly

Job Description

As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code diagnoses using a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical role in translating clinical documentation into precise codes that reflect the complexity and severity of a patient's health status.

You will:

• The certified coder reviews, analyzes, and codes diagnostic information in a patient’s medical record based on client specific guidelines for the project.
• The coder will ensure compliance with established ICD-10 CM, DRGs coding guidelines, third party reimbursement policies, regulations, and accreditation guidelines.
• Coders must meet and maintain a 95% coding accuracy rate.
• Any other task requested by management.

What you will bring to the table:

• A minimum of 2 years' HCC coding.
• Extensive knowledge of ICD-10.
• Ability to be flexible in the work environment.
• A strong knowledge base of medical terminology, medical abbreviations, pharmacology, and disease processes.
• Ability to work in a fast-paced production environment while maintaining high quality.
• Must be able to follow instructions, meet deadlines and work independently.
• Excellent written and verbal communication skills, ability to work in a remote environment, and time management skills.
• Working knowledge of the business use of computer hardware and software to ensure effectiveness and quality of the processing and security of the data.
• Must be able to commit to 40 hours weekly.
• Ability to be able work on multiple client projects.
• AHIMA certified credentials (RHIA, RHIT, CCS) or AAPC certified credentials (CPC, CPC-H, COC, CIC, or CRC). ** We are accepting CPC-As but you must have your CRC as well**