Risk Adjustment Medical Coder (Flexible Remote Position)

Change Healthcare

Louisiana

United States

Healthcare - Allied Health
(No Timezone Provided)

Change Healthcare offers flexible opportunities in the medical field, whether you’re looking for a side gig and supplemental income, or simply want to gain more training and experience in your field. This is the chance to boost your earnings potential – on a flexible schedule – and help transform the entire healthcare industry, from provider to patient.
At Change Healthcare, we’re inspiring a better you.

Title
Risk Adjustment Medical Coder (Flexible Remote Position)

Overview of Position
Change Healthcare is hiring multiple Risk Adjustment Medical Coders who will identify members’ health conditions, so health plans have appropriate payments to cover care. We accept applications year-round, and active recruitment for these roles typically occurs from July-November.  

We offer:

  • 100% work from home
  • Flexible working schedule (20 to 40 hours per week)
  • Per chart compensation
  • Paid training
  • W2 tax classification
  • Assigned advocate to help with admin topics
     
  • What will be my duties and responsibilities in this job?

  • Assign appropriate ICD–10-CM codes, mapping to risk adjustment models as applicable
  • Assign Change Healthcare Flagged 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
  • Maintain quality and production standards required by company - all medical coders must maintain minimum QA passing requirements based on HCC scoring model (HCCx < or equal to 5 and HCCm < or equal to 5)
  • Remain current on diagnosis coding guidelines and risk adjustment reimbursement reporting requirements

  • What are the requirements needed for this position?

  • Active certified coder certification (CRC, CPC, CCS - P) through AHIMA or AAPC (CCA, CPC-A not accepted)
  • At least two years of experience as a certified coder
  • At least one year of risk adjustment experience
  • Ability to code using an ICD-10-CM code book (without using an encoder)
  • Knowledge of HIPAA, recognizing a commitment to privacy, security and confidentiality of all medical chart documentation
  • Strong clinical knowledge related to chronic illness diagnosis, treatment and management
  • Computer proficiency (including MS Windows, MS Office, and the Internet
  • High-speed Internet access, a home computer with a current Windows operating system, an internet application, and Adobe Acrobat 6.0 or better
  • What other skills/experience would be helpful to have?

  • 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 (24-hour turnaround time on all assigned charts)
  • 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
  • What are the working conditions and physical requirements of this job?

    General office demands

    #LI-remote

    Join our team today where we are creating a better coordinated, increasingly collaborative, and more efficient healthcare system!

    Equal Opportunity/Affirmative Action Statement

    Risk Adjustment Medical Coder (Flexible Remote Position)

    Change Healthcare

    Louisiana

    United States

    Healthcare - Allied Health

    (No Timezone Provided)

    Change Healthcare offers flexible opportunities in the medical field, whether you’re looking for a side gig and supplemental income, or simply want to gain more training and experience in your field. This is the chance to boost your earnings potential – on a flexible schedule – and help transform the entire healthcare industry, from provider to patient.
    At Change Healthcare, we’re inspiring a better you.

    Title
    Risk Adjustment Medical Coder (Flexible Remote Position)

    Overview of Position
    Change Healthcare is hiring multiple Risk Adjustment Medical Coders who will identify members’ health conditions, so health plans have appropriate payments to cover care. We accept applications year-round, and active recruitment for these roles typically occurs from July-November.  

    We offer:

  • 100% work from home
  • Flexible working schedule (20 to 40 hours per week)
  • Per chart compensation
  • Paid training
  • W2 tax classification
  • Assigned advocate to help with admin topics
     
  • What will be my duties and responsibilities in this job?

  • Assign appropriate ICD–10-CM codes, mapping to risk adjustment models as applicable
  • Assign Change Healthcare Flagged 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
  • Maintain quality and production standards required by company - all medical coders must maintain minimum QA passing requirements based on HCC scoring model (HCCx < or equal to 5 and HCCm < or equal to 5)
  • Remain current on diagnosis coding guidelines and risk adjustment reimbursement reporting requirements

  • What are the requirements needed for this position?

  • Active certified coder certification (CRC, CPC, CCS - P) through AHIMA or AAPC (CCA, CPC-A not accepted)
  • At least two years of experience as a certified coder
  • At least one year of risk adjustment experience
  • Ability to code using an ICD-10-CM code book (without using an encoder)
  • Knowledge of HIPAA, recognizing a commitment to privacy, security and confidentiality of all medical chart documentation
  • Strong clinical knowledge related to chronic illness diagnosis, treatment and management
  • Computer proficiency (including MS Windows, MS Office, and the Internet
  • High-speed Internet access, a home computer with a current Windows operating system, an internet application, and Adobe Acrobat 6.0 or better
  • What other skills/experience would be helpful to have?

  • 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 (24-hour turnaround time on all assigned charts)
  • 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
  • What are the working conditions and physical requirements of this job?

    General office demands

    #LI-remote

    Join our team today where we are creating a better coordinated, increasingly collaborative, and more efficient healthcare system!

    Equal Opportunity/Affirmative Action Statement