Risk Adjustment Coder- Part Time

Remote, USA Full-time Posted 2025-03-13

Schedule: Part Time ? Flex Schedule 20-30 hours a week

Duration: 6 month contract...

Must Haves:
? CPC or CCS-P Certification
? CRC Certification
? Associates Degree or Equivalent Experience
? Minimum of 2 years of Risk Adjustment Coding experience
? 3+ years of CPC Coding experience
? Familiar working with EMR Systems
? Proficient with all Microsoft Office products including Outlook, Word, and Excel

Job Description:

The Risk Adjustment Coder provides support to the Risk Adjustment Department. This position will work closely with the Risk Director, Program Managers, (Nurse Practitioners) NPs and external vendors to assist with managing the risk adjustment program through coding charts and queries.

Essential Duties and Responsibilities: ? Collaborate with Lead Coder to review CDMV progress notes and CDMV Summary ? Continuous streamlined communication with NPs on queries as needed ? Weekly meeting with Lead coder to discuss any barriers on receiving responses to queries or any questions regarding coding ? Stay up to dates with CMS Coding Guidelines as identified for Risk Adjustment (CPT and ICD codes) ? Collaborate with coordinators and specialists for ad hoc projects as needed ? Track charts that have been completed for coding ? Use of multiple EMRs for coding and having access to patient history ? Attend weekly team meetings, 1-1 meetings with management, and other meetings as necessary. ? Maintain confidentiality and security of department records per department protocol, including sensitive information related to company, licensing, patient medical and personal information. ? Provide support to all department members as needed and/or directed. ? Actively promote GUEST customer service standards; develop effective relationships at all levels of the organization. ? Participate in team concepts and promote a team effort; perform duties in accordance with company policies and procedures. ? Provides administrative and clerical support for assigned departments as needed

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