HCC Coding Specialist

Job Description:

JOB SUMMARY:

Risk Adjustment Coding Specialists are an important part of the Team at CorroHealth. The HCC Coding Team Member will review medical records to abstract ICD-10 codes, specifically those that map to HCCs, RxHCCs, and ESRD models. Coders will follow Medicare guidelines, ICD-10-CM guidelines as well as client specific requirements.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member’s performance objectives as outlined by the Team Member’s immediate Leadership Team Member.

• Review, analyze and code patient medical records based on client specific guidelines for the project.
• Follow ICD-10-CM Coding Guidelines and interpret coding guidelines for accurate code assignment.
• Follow Risk Adjustment Data Abstraction Rules.
• Follow client/project specific guidelines.
• Will be required to maintain a quality score of 95% or higher.
• Will be required to maintain an ongoing productivity level based on project requirements.
• Ensure individual compliance with all privacy and security rules and regulations and commit to the protection of all Company confidential information, including but not limited to, Personal Health Information.

• All coders MUST be certified through either the AAPC or AHIMA. (Apprenticeship designations are not accepted.)
• Acceptable credentials would be CPC, CRC, COC, RHIA, RHIT, CCS, or CCS-P.
• Must have at least a minimum of 6 months of HCC experience as well as 1 year on the job coding experience.
• Must have working knowledge and experience with systems such as EMRs, Billing systems, abstraction platforms, etc.
• Must have a phone, reliable internet connection and current coding materials such as ICD-10-CM coding references.
• Team Member must be able to work from home and be independent in their coding skills.
• Must be proficient in Microsoft programs like Excel and Outlook. Examples include:
• Excel: you should be able to open and add to a spreadsheet, perform basic formulas like adding or multiplying.
• Outlook: you should be able to manage emails and schedule and attend meetings.
• Ability to communicate effectively and professionally both verbally and written.
• Ability to coordinate, analyze, observe, make decisions, and meet deadlines.
• May be required to perform other duties as assigned by Leadership Team Member.