Remote Outpatient Risk Coder – National
- 30 /Hour
- Virtual Desk Jobs
This position reports to the Manager of Risk Adjustment Coding. As a member of the Risk Adjustment team, the Outpatient Risk Coder works remotely in collaboration with hospitalists and hospital staff with opportunities for improved quality, risk adjustment coding performance. The Outpatient Risk Coder is a valuable resource in process improvement and identifying clinically appropriate risk adjusting conditions to capture. Must possess the ability to work independently with strong organizational, communication and interpersonal skills to support the management of multiple priorities, at multiple practice locations, with significant attention to detail for completion of both verbal and written external communications.
Review outpatient medical record information on both a retroactive and prospective basis to identify, assess, monitor and document claims and encounter coding information as it pertains to risk adjustment
Ensure that the diagnosis codes for each chronic or major medical condition have been captured and submitted within the permitted time frame
Assess adequacy of documentation of claims and query outpatient provider claims to obtain additional medical record documentation or to clarify documentation to ensure accurate and appropriate coding
Audit provider documentation ICD-9 and ICD-10 codes to ensure adherence with CMS Risk Adjustment guidelines
Participate in departmental and physician network performance improvement initiatives.
Safeguards medical records and preserves the confidentiality of personal health information through the observance of physician network policies pertinent to the release of medical record information, record retention, and HIPAA privacy and security.
Performs other duties as requested.
Compensation: $17 - $30 per hr.
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