Coding Consultant
Intus Care
full-time
Posted on:
Location Type: Remote
Location: Remote • 🇺🇸 United States
Visit company websiteSalary
💰 $75,000 - $90,000 per year
Job Level
Mid-LevelSenior
About the role
- Review medical records to assign all applicable diagnosis codes following ICD-10-CM Official Guidelines, AHA Coding Clinic guidance, and IRIS internal coding policies.
- Conduct PEP (Pre-Encounter Preparation) coding and concurrent coding workflows as assigned.
- Document coding rationales clearly and consistently in accordance with IRIS standards.
- Maintain strict adherence to CMS requirements, audit preparedness, and risk adjustment integrity.
- Maintain a coding accuracy score of 95% or higher, with a strong commitment to continuous quality improvement.
- Participate in internal audits, peer reviews, and periodic quality checks.
- Ensure compliance with documentation requirements, CMS risk adjustment standards, and RADV audit expectations.
- Flag documentation inconsistencies or incomplete provider documentation for clinical review.
- Complete assigned coding volumes within established productivity targets.
- Meet deadlines for all coding deliverables to ensure timely client reporting and monthly cycles.
- Collaborate with IRIS team members—including Senior Consultants, Project Managers, and Data Analysts—when coding clarification or workflow adjustments are needed.
Requirements
- CPC, CCS, RHIT, or CRC (Certified Risk Adjustment Coder) required.
- Minimum 3–5 years of medical coding experience, preferably in risk adjustment or HCC coding.
- High school diploma required; Associate’s or Bachelor’s degree preferred.
- Strong knowledge of CMS-HCC models, diagnosis coding guidelines, and RAF scoring.
- High attention to detail and accuracy.
- Ability to work independently in a remote, deadline-driven environment.
- Proficiency with EMR/EHR systems and coding platforms.
- Strong written communication skills for documenting coding decisions.
Benefits
- Stock options
- Variable compensation
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
ICD-10-CM codingPEP codingconcurrent codingcoding accuracyrisk adjustment codingCMS-HCC modelsdiagnosis coding guidelinesRAF scoringmedical coding experiencequality improvement
Soft skills
attention to detailindependencedeadline-drivenstrong written communicationcollaboration
Certifications
CPCCCSRHITCRC