Coder 1 – Risk Adjustment

Coder 1 (Risk Adjustment)

Job Locations: US-Remote

ID2023-11222

Category

Coding

Position Type

Full-Time

Overview

Cotiviti drives better healthcare outcomes through data analytics. Our payment accuracy, revenue integrity, risk assessment and stratification, and quality improvement solutions help organizations utilize their data so they can efficiently and cost-effectively succeed in the new era of healthcare.

We are currently looking for multiple Remote Risk Adjustment / HCC Coders (Coder 1) for full-time permanent positions.

See what it’s like to work as a Coder at Cotiviti:

Responsibilities

• Ability to review medical records for accurate, compliant, and complete diagnosis code abstraction for Medicare, Commercial and Medicaid risk adjustment from various chart types (physician, facility, and non-facility).
• May have special projects that will entail a full coding review.
• Ability to code following the ICD-10-CM Official Guidelines for Coding and Reporting, AHA’s Coding Clinic and well as Cotiviti and client specific coding guidelines.
• Intermediate skills and knowledge of computers with the ability to use the designated coding platform for coding processes with focus on both production and accuracyAbility to regularly and consistently achieve over 95% quality accuracy.
• Appropriately communicate with management regarding workload, production expectations and deliverables.
• Utilizes the Dispute Resolution’ process when disagreement occurs related to a coding determination.
• Stays current on coding guidelines necessary for the position by attending all Cotiviti required trainings, workshops, and personal research as appropriate.
• Professionally communicates finds, errors, and suggestions to Team Lead to facilitate on-going communications and efficient department operations as part of a continuous improvement process.
• Quick learner with positive attitude.
• Complete all responsibilities as outlined on annual Performance Plan.
• Complete all special projects and other duties as assigned.

Qualifications

Education: Minimum High School Diploma.

Certifications: Nationally certified coder in good standing through AAPC or AHIMA (CRC, CPC, CCS, etc.).

Experience:

• Coder 1: 1-2 years’ experience in medical risk adjustment / HCC coding.
• Experience in HCC record abstraction and coding requirements.

Knowledge, Skills & Abilities:

• Demonstrated high level of quality accuracy and productivity in clinical coding work.
• Adherence to official coding guidelines (including coding clinics, CMS, client specific guidelines and other regulatory compliance guidelines and mandates).
• Excellent written and verbal communication skills with the ability to understand and explain complex information.
• Strong knowledge of medical terminology and anatomy and physiology.
• Skills in organization and time management.
• Comfortable with computers and technology.
• Must be able to work in a fast-paced environment.
• Ability to manage and meet deadlines, adapt to changing priorities, flexible and open to new ideas.
• Must be able to perform duties with or without reasonable accommodation.
• Must participate in all required training.
• Must abide by all HIPAA and associated patient confidentiality requirements.
• This is a home-based position and requires individuals to work within the continental US, have a place to work that is free from distractions and have a high-speed internet connection.
• This role is aligned to certain productivity and quality requirements.
• Required hours for training: Monday-Friday 8 AM 5 PM ET
• Required working hours: 40 hours per week, Monday-Friday 8-hour days; daytime schedule based on your time zone. This role is not intended to work nights, weekends or part-time.

Base compensation ranges from $20.00 Hr. to $26.00 Hr. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs. This role is eligible for discretionary bonus consideration.

Cotiviti offers team members a competitive benefits package to address a wide range of personal and family needs, including medical, dental, vision, disability, and life insurance coverage, 401(K) savings plans, paid family leave, 9 paid holidays per year, and 17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service with Cotiviti. For information about our benefits package, please refer to our careers page.

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Cotiviti is an equal employment opportunity employer. Cotiviti recruits, hires and promotes individuals based on their qualifications for a specific job. Cotiviti values its diverse workforce and its selection of employees is made without regard to race, color, creed, sex, age, religion, pregnancy, childbirth or pregnancy-related conditions, national origin, sexual orientation, marital status, genetic carrier status, military service, veteran status, disability, or any other category of class protected by federal, state or local laws. All employment decisions and personnel actions, such as hiring, promotion, compensation, benefits, and termination, are and will continue to be administered in accordance with, and to further the principle of, equal employment opportunity.