Job details

Coder 2 (Risk Adjustment)

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 2) for full-time permanent positions.

See what it's like to work as a Coder at Cotiviti:
https://www.youtube.com/watch?v=-VgcV09cxCo

Responsibilities:

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).

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.
May have special projects that will entail a full coding review.
Regularly and consistently achieve over 95% quality accuracy.
Assist with mentoring new Risk Adjustment Coders under direction of training team in learning the rules, guidelines of coding and the application of Cotiviti policies and procedures for appeals review.

Qualifications:

Education: minimum High School Diploma

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

Experience:

Coder 2: 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 $21.40 Hr. to $26.50 Hr. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs.

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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CEO of Cotiviti

Emad Rizk, M.D.

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By Cotiviti

Cotiviti, a premier analytics and solutions firm, harnesses vast clinical and financial data to offer insights that enhance the efficiency, quality, and financial health of the healthcare system.

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