Coder 1 – HCC Risk Adjustment

🔥 21 hours ago

🇺🇸 United States – Remote

💵 $23 - $26 / hour

⏰ Full Time

🟢 Junior

🏥 Medical Billing and Coding

🚫👨‍🎓 No degree required

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

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Cotiviti

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

🏥 Healthcare

💼 Consulting

📦 Logistics

Healthcare • Consulting • Logistics

Cotiviti is a healthcare technology and analytics company that specializes in improving payment accuracy and performance through advanced data analytics solutions. They partner with health plans, government agencies, and healthcare providers to deliver insights that enhance quality and efficiency in care delivery. With solutions such as risk adjustment, payment policy management, and member engagement, Cotiviti aims to optimize financial and clinical outcomes for the healthcare ecosystem.

📋 Description

• Review medical records for accurate, compliant, and complete diagnosis code abstraction from varied chart and encounter types • Support Medicare, Commercial, and Medicaid prospective, concurrent, and retrospective risk-adjustment program initiatives • Stay current on coding guidelines through required Cotiviti trainings, workshops, and personal research • Communicate findings, errors, and suggestions to the Team Lead • Use established dispute-resolution processes when coding disagreements arise • Complete performance-review and goal-setting responsibilities • Complete special projects and other assigned duties • Perform duties with or without reasonable accommodation

🎯 Requirements

• Minimum High School Diploma • Nationally certified coder in good standing through AAPC or AHIMA (CRC, CPC, CCS, etc.) • 1-2 years’ experience in medical risk adjustment / HCC coding • Experience in HCC record abstraction and coding requirements • Demonstrated high level of quality accuracy and productivity in clinical coding work • Maintains professional credential in good standing as required by AAPC and/or AHIMA • Adherence to official coding guidelines, coding clinic determinations, CMS, Client specific guidelines and other regulatory compliance guidelines and mandates • Strong knowledge of medical terminology and anatomy and physiology • 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 • Skills in organization and time management • Ability to read and understand medical record documentation for diagnosis extraction • Comfortable with computers and technology • Must abide by all HIPAA and associated patient confidentiality requirements • Required training availability Monday-Friday 8 AM–5 PM ET • Required availability for 40 hours per week, Monday-Friday, 8-hour daytime schedule based on time zone • Excellent written and communication skills with the ability to understand and explain complex information • Ability to regularly and consistently achieve over 95% quality accuracy • Ability to communicate with management regarding workload, production expectations and deliverables • Ability to work in a fast-paced environment • Ability to manage and meet deadlines • Must participate in all required training • Must provide a dedicated, secure work area • Must provide high-speed internet access/connectivity and office setup and maintenance

🏖️ Benefits

• Discretionary bonus consideration • Overtime pay for nonexempt employees for hours over 40 per week, or as required by applicable state law • Medical insurance • Dental insurance • Vision insurance • Disability insurance • Life insurance • 401(K) savings plans • Paid family leave • 9 paid holidays per year • 17-27 days of Paid Time Off (PTO) per year, depending on level and length of service