Hcc Coders

Overview

• Perform professional fee coding and auditing to ensure compliance with healthcare regulations and industry standards.
• Analyze medical records to assign accurate codes, ensuring proper documentation and billing practices.
• Collaborate with healthcare providers to enhance coding accuracy and compliance with guidelines.
• Maintain high productivity and precision standards while working remotely in a flexible environment.
• Troubleshoot claim issues and coordinate with leadership for effective resolutions.
• Contribute to the optimization of coding processes and revenue cycle outcomes.
• Engage in continuous learning to stay updated on coding practices and regulations.

Key Responsibilities & Duties

• Audit and code professional fee records, adhering to established coding guidelines and standards.
• Prepare and submit claims by verifying patient demographics and insurance information.
• Provide constructive feedback to healthcare providers to improve coding practices and compliance.
• Monitor coding production rates and ensure accuracy thresholds are consistently met.
• Utilize expertise in risk adjustment and HCC coding to enhance audit outcomes.
• Collaborate with leadership to address escalated issues and optimize workflows.
• Maintain detailed production tracking and prepare accurate daily coding logs.
• Engage in training initiatives to support coding team development and compliance.

Job Requirements

• High School Diploma or GED required; advanced certifications are advantageous.
• Minimum of 3 years coding experience; 5 years preferred for optimal performance.
• Credential from AHIMA or AAPC, such as Certified Professional Coder, required.
• Expertise in risk adjustment coding and HCC certification is highly desirable.
• Proficiency in ICD-10 and CPT coding with a minimum accuracy rate of 95%.
• Strong analytical skills and ability to work independently in a remote environment.
• Experience in renal care or value-based care environments is advantageous.
• Reliable internet connectivity meeting specified speed and latency requirements.