HCC Coder

US-Remote
Req No
2017-4002
Category
Production Coding
Type
Regular Full-Time

Overview

The HCC Coder provides medical record reviews, coding and chart abstraction services for Peak clients on various projects. 

Responsibilities

  1. Reviews submitted medical records to identify diagnoses/procedures, ensuring the following:
  • The service was provided by an acceptable risk adjustment provider type and physician specialty.
  • Dates of service are within the data collection period.
  • A provider signature and credentials for each note.
  • Acceptable documentation based on documentation guidance.
  • Diagnoses supported by medical record documentation.
  1. Codes all diagnoses and services accurately and completely, from the medical record in accordance    with the ICD-10-CM, CPT and HCPCS coding classification systems.
  2. Selects the correct HCC/RxHCC accurately for each ICD-10-CM code for all medical records.
  3. Selects and accurately records all appropriate records and data on assigned chart abstraction projects. 
  4. Participates effectively in clinical documentation improvement initiatives and team meetings to promote quality across all projects.

Complies with policies and procedures for confidentiality of all patient records and security of systems; i.e., does not share confidential information, computer passwords, etc

 

 

  • Expert level knowledge of ICD-10-CM coding and CMS Medicare Advantage HCC coding methodologies.
  • Knowledge of ICD-10-CM coding, retrospective, prospective, health risk assessment coding.
  • Knowledge of HCC retrospective chart coding/auditing.
  • Ability to perform chart review and coding of approximately 4 charts per hour (80 pages) while maintaining excellent quality (QA, IRR) scores of 90% or higher.
  • Ability to perform chart abstraction at a minimum of 4 charts per hour.
  • Knowledge of medical terminology as well as anatomy and physiology.
  • Excellent written and verbal communication skills.
  • Excellent attention to detail required.  
  • Daily ability to operate applicable computer and software technologies effectively.  

Qualifications

  • High School Diploma or G.E.D
  • Completion of an ICD-10-CM coding training program desired (with honors).
  • Coding Certification from AAPC or AHIMA. 

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