Coder 1
Remote, United States
Overview
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 1) for full-time permanent positions.
See what it's like to work as a Coder at Cotiviti:https://www.youtube.com/watch?v=-VgcV09cxCo
Responsibilities
- Ability to 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).
- May have special projects that will entail a full coding review.
- Ability to 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.
- Intermediate skills and knowledge of computers with the ability to use the designated coding platform for coding processes with focus on both production and accuracy.
- Ability to regularly and consistently achieve over 95% quality accuracy.
- Appropriately communicate with management regarding workload, production expectations and deliverables.
- Utilizes the ‘Dispute Resolution’ process when disagreement occurs related to a coding determination.
- Stays current on coding guidelines necessary for the position by attending all Cotiviti required trainings, workshops, and personal research as appropriate.
- Professionally communicates finds, errors, and suggestions to Team Lead to facilitate on-going communications and efficient department operations as part of a continuous improvement process.
- Quick learner with positive attitude.
- Complete all responsibilities as outlined on annual Performance Plan.
- Complete all special projects and other duties as assigned.
Qualifications
Education: Minimum High School Diploma.
Certifications: Nationally certified coder in good standing through AAPC or AHIMA (CRC, CPC, CCS, etc.).
Experience:
- Coder 1: 1-2 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 …
This job isn't fresh anymore!
Search Fresh JobsJob Profile
Home-based position Must be able to perform duties with or without reasonable accommodation Must be able to provide a dedicated, secure work area Must be able to provide high-speed internet access
Benefits/Perks9 paid holidays per year Competitive benefits package Continuous training Dental Disability Discretionary bonus Full-time position Life Insurance Life insurance coverage Medical Medical, dental, vision, disability, and life insurance coverage Paid Family Leave Paid holidays Paid Time Off Remote work Vision
Tasks- Code diagnoses
- Communicate with management
- Communications
- Complete all responsibilities as outlined
- Compliance
- Excellent written and verbal communication
- Other duties as assigned
- Participate in training
- Quality Improvement
- Regulatory Compliance
- Reporting
- Research
- Review medical records
- Special projects
- Training
- Work in a fast-paced environment
Access Analytics Anatomy Anatomy and Physiology Assessment Coding Coding Guidelines Commercial Communication Compliance Computer Continuous Improvement Data & Analytics Dispute resolution HCC coding Healthcare HIPAA ICD ICD-10 ICD-10-CM Insurance IT Medicaid Medical Coding Medical Records Medical terminology Medicare Operations Payment Physiology Quality improvement Regulatory Compliance Reporting Research Risk Adjustment Risk Assessment Technology Time Management Training Verbal communication
Experience1-2 years
EducationBusiness Communications Healthcare High school diploma Junior Management Medical Operations
Certifications TimezonesAmerica/Anchorage America/Chicago America/Denver America/Los_Angeles America/New_York Pacific/Honolulu UTC-10 UTC-5 UTC-6 UTC-7 UTC-8 UTC-9