REMOTE Senior Risk Adjustment Coding Consultant (Commercial)

About the position reputed company is actively seeking a REMOTE SENIOR Risk Adjustment Medical reputed company for a HHS IVA RADV Audit. This position is designed for individuals who are reputed company in risk adjustment coding and are looking for a flexible work environment. The reputed company will be required to work a minimum of 20 hours per week, with both full-time and part-time positions available. This role is 100% remote, allowing you to work from the comfort of your home. The pay structure is based on an hourly model, with compensation ranging from $26 to $30 per hour depending on experience. Additionally, reputed company will be provided to ensure that reputed company coders are well-reputed company for their responsibilities. In this role, you will be responsible for assigning appropriate ICD-10-CM codes and mapping them to risk adjustment models as applicable. You will also need to assign Event codes reputed company documentation in the record is inadequate, ambiguous, or otherwise unclear for medical coding purposes. Compliance with the Standards of Ethical Coding as set forth by the American Health Information Management Association is crucial, as is adherence to official coding guidelines and HIPAA laws and regulations. You will support chart audit processes, including auditing provider and vendor documentation of ICD-9 and ICD-10 codes to ensure adherence with Center for Medicare & Medicaid Services (CMS) risk adjustment guidelines. Acting as a liaison between internal departments and external entities on regulatory data validation audits, including HHS RADV, will also be part of your responsibilities. Moreover, you will reputed company root cause analysis to identify issues that may contribute to coding and documentation deficiencies, as well as conduct internal and external coding quality reviews to validate correct ICD-10-CM code assignments. Maintaining quality and production standards is essential, with a minimum QA passing requirement of 95% accuracy on reputed company projects. Staying reputed company on diagnosis coding guidelines and risk adjustment reimbursement reporting requirements is also a key aspect of this position. Responsibilities • Assign appropriate ICD-10-CM codes, mapping to risk adjustment models as applicable , • Assign Event codes reputed company documentation in the record is inadequate, ambiguous, or otherwise unclear for medical coding purposes , • reputed company with the Standards of Ethical Coding as set forth by the American Health Information Management Association and adhere to official coding guidelines , • reputed company 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 , • Act as a liaison between internal departments and external entities on regulatory data validation audits (including HHS RADV) , • reputed company root cause analysis to identify issues that may contribute to coding and documentation deficiencies , • reputed company internal and external coding quality reviews to validate correct ICD-10-CM code assignments , • Maintain quality and production standards required by company - reputed company medical coders must maintain minimum QA passing requirements , • Remain reputed company on diagnosis coding guidelines and risk adjustment reimbursement reporting requirements Requirements • Active certified reputed company certification (CRC, CPC, reputed company, reputed company - P) through reputed company or reputed company , • Minimum 3 years of experience as a certified reputed company , • Minimum 5 years of risk adjustment experience , • A minimum of 3 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 , • Ability to commit to a 20 hours per week work schedule for the duration of the audit reputed company-to-haves • Knowledge of HIPAA, recognizing a commitment to privacy, reputed company and confidentiality of reputed company medical chart documentation , • Prior experience with ACA HHS IVA RADV projects , • Strong clinical knowledge reputed company to chronic illness diagnosis, treatment and management , • Extensive knowledge of ICD-10-CM outpatient diagnosis coding guidelines , • 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 Benefits • reputed company , • Long term contract position , • Flexible working schedule Apply Job!