HCC Certified Coder
Monogram Health
full-time
Posted on:
Location Type: Remote
Location: United States
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About the role
- The HCC Certified Coder will be responsible for abstracting clinical information and assigning appropriate diagnosis and procedure codes in accordance with nationally recognized coding guidelines
- Analyze and translate medical and clinical documentation in alignment with the CMS Risk Adjustment Models
- Collaborate closely with the coding team and providers to ensure accurate and compliant documentation and coding practices
- Perform coding for patient health assessments, conduct peer coding quality reviews, and support provider and coding team training and education
- Conduct prospective medical chart audits to identify, monitor, and document claims and encounter coding related to Hierarchical Condition Categories (HCC)
- Educate clinicians on coding opportunities identified in chart reviews and keep them informed of current coding and documentation guidelines
- Perform accurate and timely coding (CPT, ICD-10, HCPCS, modifiers)
- Provide timely correspondence with providers regarding clinical documentation opportunities and queries
- Identify trends through data analysis or chart review and develop new policies and recommend solutions to meet objectives
- Maintain a minimum of 95% coding accuracy and meet established productivity standards
- Stay current with regulatory, documentation, and coding guidelines, demonstrating proficiency in CPT, ICD-10, and HCPCS coding, as well as E/M code assignment, auditing, and education
Requirements
- High school Diploma or GED required
- CPC, CRC, CCS, or CCS-P credentials required
- Minimum of three (3) years of experience in Certified Coder role, including experience in HCC coding
- Proficiency with Microsoft Word, Excel, PowerPoint, and Electronic Medical Records
- Demonstrate advanced knowledge of medical terminology, anatomy, and physiology
- Experience communicating & working closely with Physicians
- Able to work remotely with proven ability to prioritize tasks, meet goals and deadlines
- Experience in Medicare programs and regulations including fraud and abuse and Risk Adjustment
- Familiar with STARs performance measures and metrics
- Experience with Athena, medical billing, and coding Nephrology are preferred skills
Benefits
- Comprehensive Benefits - Medical, dental, and vision insurance
- employee assistance program
- employer-paid and voluntary life insurance
- disability insurance
- plus health and flexible spending accounts
- Competitive compensation
- 401k with employer match
- financial wellness resources
- Paid holidays
- flexible vacation time/PSSL
- paid parental leave
- Work life assistance resources
- physical wellness perks
- mental health support
- employee referral program
- BenefitHub for employee discounts
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
CPT codingICD-10 codingHCPCS codingE/M code assignmentmedical chart auditsdata analysiscoding accuracycoding guidelinesmedical terminologyanatomy and physiology
Soft Skills
collaborationcommunicationtraining and educationprioritizationtime management
Certifications
CPCCRCCCSCCS-P