Coder 2
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 2) 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
- 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).
- 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.
- May have special projects that will entail a full coding review.
- Regularly and consistently achieve over 95% quality accuracy.
- Assist with mentoring new Risk Adjustment Coders under direction of training team in learning the rules, guidelines of coding and the application of Cotiviti policies and procedures for appeals review.
Qualifications
Education: minimum High School Diploma
Certifications: Nationally certified coder in good standing through AAPC or AHIMA (CRC, CPC, CCS, etc.).
Experience:
- Coder 2: 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 and physiology.
- Skills in organization and time management.
- Comfortable with computers and technology.
- Must be able to work in a fast-paced environment.
- Ability to manage and meet deadlines, adapt to changing priorities, flexible and open to new ideas.
- Must be able to perform duties with or without reasonable accommodation
- Must participate in all required training
- Must abide by all HIPAA and associated patient confidentiality requirements
- This is a home-based position and requires individuals to work within the continental US, have a place to work that is free from distractions and have a high-speed internet connection
- This role is aligned to certain productivity and quality requirements
- Required hours for training: Monday-Friday 8 AM – 5 PM ET
- Required working hours: 40 hours per week, Monday-Friday 8-hour days; daytime schedule only based on your time zone. This role is not intended to work nights, weekends or part-time.
Base compensation ranges from $21.00 Hr. to $27.00 Hr. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs. This role is eligible for discretionary bonus consideration.
Cotiviti offers team members a competitive benefits package to address a wide range of personal and family needs, including medical, dental, vision, disability, and life insurance coverage, 401(K) savings plans, paid family leave, 9 paid holidays per year, and 17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service with Cotiviti. For information about our benefits package, please refer to our Careers page.
Date of posting: 5/20/2024
Applications are assessed on a rolling basis. We anticipate that the application window will close on 7/6/2024, but the application window may change depending on the volume of applications received or close immediately if a qualified candidate is selected.
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Regions Countries Benefits/Perks17-27 days of Paid Time Off (PTO) per year 401(k) savings plans 9 paid holidays per year Competitive benefits package Dental Disability Life Insurance Life insurance coverage Medical Medical, dental, vision, disability, and life insurance coverage Paid Family Leave Paid holidays Paid Time Off Paid time off (PTO) Vision
SkillsAnalytics Anatomy and Physiology Clinical coding Coding Coding Guidelines Commercial Communication HCC Coding HIPAA ICD-10 ICD-10-CM IT Medicaid Medical terminology Medicare Payment Regulatory Compliance Reporting Risk Adjustment Risk Assessment Technology Time Management Training
Tasks- Achieve over 95% quality accuracy
- Adhere to coding guidelines and regulatory compliance
- Assist with mentoring new coders
- Code following official coding guidelines
- Compliance
- Excellent written and verbal communication
- Manage deadlines and adapt to changing priorities
- Mentoring
- Reporting
- Review medical records for accurate diagnosis code abstraction
- Special projects
- Training
2+ years
EducationBusiness High school diploma Junior Management Medical
Certifications RestrictionsDaytime schedule only based on your time zone Home-based position Must be able to perform duties with or without reasonable accommodation Must have a distraction-free work environment and high-speed internet connection Must work within the continental US
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