Conducts prospective reviews to abstract Hierarchical Condition Category (HCC) codes for calendar-year reporting. Communicates with providers via Epic and in person regarding outstanding HCC capture opportunities and performs retrospective reviews to ensure documentation supports reporting prior to payer submission.
- Conducts prospective chart reviews to identify HCC opportunities
- Conducts retrospective chart reviews to confirm documentation supports reporting
- Uses payer-specific software to assist in capturing HCCs
- Communicates with providers about opportunities for improvement
- Identifies suspect conditions that may support HCC reporting
- Participates in education offerings and monthly meetings
- Performs other duties as assigned
Requirements & Qualifications
- High school diploma or equivalent required; post-high school diploma or associate degree preferred
- Five years of professional fee coding experience
- Certified Professional Coder (CPC)
- Certified Risk Adjustment Coder (CRC)
- Proficiency with office equipment, word processing, spreadsheets, and databases
- Data entry and mathematical skills
Location
South Carolina, US
Employment Type
Full-time
Experience Level
Intermediate Level
Remote work allowed
Yes
Posted
1 month ago