Hiring Remote Medical Coders (full time – no weekends)

Website Cotiviti

Cotiviti drives better healthcare outcomes through data analytics. Our payment accuracy, revenue integrity, risk assessment and stratification, and quality improvement solutions help organizations utilize their data so they can efficiently and cost-effectively succeed in the new era of healthcare.
We are currently looking for multiple Remote Risk Adjustment / HCC Coders (Coder 2) for full-time permanent positions.

Responsibilities:

  • Review medical records for accurate, compliant, and complete diagnosis code abstraction for Medicare, Commercial and Medicaid risk adjustment from various chart types (physician, facility, and non-facility).
  • Code following the ICD-10-CM Official Guidelines for Coding and Reporting, AHA’s Coding Clinic and well as Cotiviti and client specific coding guidelines.
  • May have special projects that will entail a full coding review.
  • Regularly and consistently achieve over 95% quality accuracy.
  • Assist with mentoring new Risk Adjustment Coders under direction of training team in learning the rules, guidelines of coding and the application of Cotiviti policies and procedures for appeals review.

Qualifications:

Education: minimum High School Diploma
Certifications: Nationally certified coder in good standing through AAPC or AHIMA (CRC, CPC, CCS, etc.).
Experience:
  • Coder 2: 2+ years’ experience in medical risk adjustment / HCC coding.
  • Experience in HCC record abstraction and coding requirements.
Knowledge, Skills & Abilities:
  • Demonstrated high level of quality accuracy and productivity in clinical coding work.
  • Adherence to official coding guidelines (including coding clinics, CMS, client specific guidelines and other regulatory compliance guidelines and mandates).
  • Excellent written and verbal communication skills with the ability to understand and explain complex information.
  • Strong knowledge of medical terminology and anatomy and physiology.
  • Skills in organization and time management.
  • Comfortable with computers and technology.
  • Must be able to work in a fast-paced environment.
  • Ability to manage and meet deadlines, adapt to changing priorities, flexible and open to new ideas.
  • Must be able to perform duties with or without reasonable accommodation
  • Must participate in all required training
  • Must abide by all HIPAA and associated patient confidentiality requirements
  • This is a home-based position and requires individuals to work within the continental US, have a place to work that is free from distractions and have a high-speed internet connection
  • This role is aligned to certain productivity and quality requirements
  • Required hours for training: Monday-Friday 8 AM – 5 PM ET
  • Required working hours: 40 hours per week, Monday-Friday 8-hour days; daytime schedule only based on your time zone. This role is not intended to work nights, weekends or part-time.

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