Clinical Quality Coder II

Job not on LinkedIn

🔥 1 minute ago

🌵 Arizona, California, +21 more states – Remote

🌵 Arizona – Remote 🏄 California – Remote ⛰️ Colorado – Remote 🐊 Florida – Remote 🥔 Idaho – Remote 🌽 Illinois – Remote ⚜️ Louisiana – Remote 🦬 Montana – Remote 🎰 Nevada – Remote 🏖️ New Jersey – Remote 🌲 North Carolina – Remote 🏈 Ohio – Remote 🌲 Oregon – Remote 🚗 Michigan – Remote ❄️ Minnesota – Remote 🏰 Missouri – Remote 🔔 Pennsylvania – Remote 🌴 South Carolina – Remote 🎸 Tennessee – Remote 🤠 Texas – Remote ⛷️ Utah – Remote ⚔️ Virginia – Remote ☕ Washington – Remote

💵 $28 - $52 / hour

⏰ Full Time

🟢 Junior

🏥 Medical Billing and Coding

🚫👨‍🎓 No degree required

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

Sutter Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded Sutter Health was founded in 1996.

🏥 Healthcare

⚕️ Healthcare Insurance

🤝 Non-profit

💰 Grant on 2016-11

Healthcare • Healthcare Insurance • Non-profit

Sutter Health is a not-for-profit health system serving Northern California, offering a wide range of healthcare services. It provides comprehensive primary and specialty care, including mental health, oncology, orthopedics, women's health, and more. The organization supports both in-person and virtual visits, ensuring accessibility to its services. Sutter Health is also involved in medical research, education, and offers various health plans, including Sutter Health Plus. It emphasizes innovative, compassionate care and maintains a network of hospitals, medical groups, and other health providers across Northern California.

📋 Description

• Conduct review of outpatient medical records using ICD-10-CM, CPT, Medicare Advantage, and CMS coding and reporting guidelines • Perform medical record reviews to ensure accurate assignment of medical diagnoses and procedures • Conduct pre-appointment review of each encounter in scope, including Medicare Advantage encounters • Ensure accurate reporting of diagnoses • Alert physicians to potential clinical conditions that may require review • Assign and validate diagnosis codes using grouper software and/or coding reference books

🎯 Requirements

• HS Diploma or General Education Diploma (GED) • CRC-Certified Risk Adjustment Coder OR CPC-Certified Professional Coder OR AHMA or AAPC Coding Certification (CCS-P, CPC, COC or CPC-P) • 1 year recent relevant experience with CMS-HCC Risk Adjustment Coding and HHS-HCC risk adjustment coding guidelines, including pediatric and OB/GYN diagnoses and related documentation requirements • Advanced knowledge of ICD-10 diagnosis coding conventions and requirements • Knowledge of Quality Coding Program requirements such as the Medicare Advantage Coding Program/HCC • Knowledge of medical terminology and abbreviations of disease, illness and injury process • Proficient use of grouper software and/or coding reference books to assign/validate diagnosis codes • Knowledge of National Correct Coding Initiative edits, Coding Clinic and CPT Assignment coding guidelines and the contents of a medical record • Ability to work independently and as part of a team • Ability to accomplish multiple tasks in an environment with interruptions • Demonstrated written and verbal communication skills to explain sensitive information clearly and professionally

🏖️ Benefits

• Comprehensive benefits package • Total rewards program • Full-time schedule, Monday–Friday, 8-hour shifts • No weekend requirements