REMOTE Senior Risk Adjustment Coder, RADV - Jacksonville, United States - The CSI Companies

Description

CSI Companies is actively hiring for a REMOTE SENIOR Risk Adjustment Medical Coder for a HHS IVA RADV Audit. The coder will be required to work full-time hours ( minimum 35 hours a week).

This position requires a minimum of 3 years Risk Coding on Commercial Charts. We strongly desire coders with ACA HHS IVA RADV experience.

Check out what other coders are sharing about their experience working at CSI- Indeed Reviews

The What You Want to Know

100% REMOTE - Work from home
Flexible working schedule
PAY PER HOUR model
Paid training
Long term contract position- Benefits Offered

Required Certification:
Active certified coder certification through AHIMA or AAPC required: CRC, CPC, CCS-P, CCS (Certified Risk Adjustment Coder, Certified Professional Coder, Certified Coding Specialist- Physician Based)

Pay:
$26-30/hr based on experience

The What Will You Be Doing?
Assign appropriate ICD–10-CM codes, mapping to risk adjustment models as applicable
Assign Event codes when documentation in the record is inadequate, ambiguous, or otherwise unclear for medical coding purposes
Comply with the Standards of Ethical Coding as set forth by the American Health Information Management Association and adhere to official coding guidelines
Comply with HIPAA laws and regulations

Support chart audit processes, including audit provider and vendor documentation of ICD-9 and ICD-10 codes to ensure adherence with Center for Medicare & Medicaid Services (CMS) risk adjustment guidelines, and act as a liaison between internal departments and external entities on regulatory data validation audits (including HHS RADV).

Perform root cause analysis to identify issues that may contribute to coding and documentation deficiencies.
Perform internal and external coding quality reviews to validate correct ICD-10-CM code assignments.
Maintain quality and production standards required by company - all medical coders must maintain minimum QA passing requirements. Quality expectations are 95% accuracy on all projects.
Remain current on diagnosis coding guidelines and risk adjustment reimbursement reporting requirements


The Position Requirements:
Active certified coder certification (CRC, CPC, CCS, CCS - P) through AHIMA or AAPC
Minimum 3 years of experience as a certified coder
Minimum 3 year of risk adjustment experience
A minimum of 2 years experience Risk Coding Commercial Charts
Ability to code using an ICD-10-CM code book
Computer proficiency (including MS Windows, MS Office, and the Internet
High-speed Internet access

What other skills/experience would be helpful to have?
Knowledge of HIPAA, recognizing a commitment to privacy, security and confidentiality of all medical chart documentation
Prior experience with ACA HHS IVA RADV projects
Strong clinical knowledge related to chronic illness diagnosis, treatment and management
Extensive knowledge of ICD-10-CM outpatient diagnosis coding guidelines (knowledge and demonstrated understanding of Risk Adjustment coding and data validation requirements is highly preferred)
Reliability and a commitment to meeting tight deadlines
Personal discipline to work remotely without direct supervision
Exemplary attention to detail and completeness
Strong organization, interpersonal, and customer service skills
Written and oral communication skills
Analytical skills
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This is a remote, work from home position. You may be located anywhere within the US.%377741% %%medinfo%%