Coder 1

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 medical terminology and anatomy …