Winona Lake

Medical-Healthcare Jobs

OP Risk Adjustment Coder (CMS; HCC)

Winona Lake, Indiana - 02 Feb, 2020
  • 30 /Hour
  • Mommy Jobs Online
  • Remote


Mommy Jobs Online is seeking for someone to fill the position of a Outpatient Risk Adjustment Coder.

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.

As an Outpatient Risk Coder, you are 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. Also, a significant attention to detail for completion of both verbal and written external communications is required.


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 the adequacy of documentation of claims. Query outpatient provider claims to obtain additional medical record documentation or to clarify documentation to ensure accurate and appropriate coding.

Audit provider documentation of ICD-9 and ICD-10 codes to ensure their 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 (PHI) 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.

To Become A Member:

​Please visit https://mommyjobsonline.com and click on Join Now. You will need to select the Medical Coding WAH Job Bank Registry to become a lifetime member to get connected with this client to begin their hiring process. Please email us your resume after you register with your qualifications and work history.

Please reference agent ID code MJOLTanyaPhilip on your registration submission.

Mommy Jobs Online is accepting pre-screening interviews, so please call 1-405-418-6160 and ask for Kimberly.

Jobseeker Live Chat - https://tawk.to/chat/5bd13d86476c2f239ff5dd42/default

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