This role is a contract position from mid-June to late September, working full-time Monday through Friday on a day shift schedule, fully remote with equipment provided.
Responsibilities include reviewing inpatient and outpatient medical records to identify and validate diagnosis codes, abstracting and assigning ICD-10-CM diagnosis codes based on supporting clinical documentation, and applying CMS risk adjustment guidelines and HCC model rules.
The coder will confirm that documentation supports submitted diagnoses and meets CMS RADV audit standards, verify member demographic accuracy, ensure record completeness, confirm submission package integrity, and identify coding discrepancies or documentation deficiencies.
The role requires maintaining productivity standards for high-volume chart review, documenting coding decisions in designated systems, participating in RADV, internal QA, and external audit activities, and maintaining compliance with CMS, HIPAA, payer, and organizational coding standards.
Deliverables will be accepted upon stakeholder confirmation.
- Experience with ICD-10-CM coding and risk adjustment coding processes.
- Knowledge of CMS risk adjustment guidelines, HCC model rules, and RADV audit standards.
- Ability to review medical records for completeness and accuracy.
- Familiarity with CMS, HIPAA, and payer coding standards.
- High-volume chart review capability and attention to detail.
- Strong documentation and communication skills.
- Associate level experience in medical coding or related field.
- Medical insurance
- Vision insurance
- Dental insurance
Location
N/A
Employment Type
Contractor
Experience Level
Associate
Remote work allowed
Yes
Posted
1 month ago