Description We are seeking a dedicated and experienced Remote Risk Adjustment Coder to join our team. The ideal candidate should have a comprehensive understanding of DSNP (Dual Eligible Special Needs Plan) and extensive experience with eClinicalWorks. Since this is a remote position, the candidate should possess superior communication skills and the capability to accomplish tasks independently while working in a dispersed team environment. Your primary responsibility will be to accurately review and code patient records for specific chronic disease states and conditions.Responsibilities:
Analyze and interpret patients' medical records and assign accurate codes for each diagnosis and procedure using ICD-10-CM and CPT coding standards.
Utilize eClinicalWorks to manage and access patient records efficiently.
Review and track DSNP members' health conditions to ensure accurate risk scoring.
Work closely with healthcare providers to obtain required documentation for supporting appropriate coding.
Ensure all codes are up to current regulations and within compliance standards.
Conduct chart audits for coding accuracy and provide feedback or educational support for continuous quality improvement.
Stay informed about industry updates and maintain a thorough understanding of medical terminologies and diseases conditions.
Requirements
Qualifications:
Must hold a Certified Professional Coder (CPC), Certified Risk Adjustment Coder (CRC), or equivalent certification.
Minimum of 2-3 years of experience in risk adjustment coding, preferably with DSNP experience.
Proficiency in eClinicalWorks and understanding of how it applies to coding and patient data management.
Comprehensive understanding of medical terminologies, pharmacology, anatomy, and physiology.
Strong knowledge of coding guidelines and regulations, including HIPAA and CMS Risk Adjustment policies.
Exceptional attention to detail and accuracy.
Excellent verbal and written communication skills.
Ability to maintain high levels of confidentiality.
Experience working remotely, self-disciplined, and demonstrably efficient in a remote environment.
Robert Half is the world’s first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles.Robert Half works to put you in the best position to succeed. We provide access to top jobs, competitive compensation and benefits, and free online training. Stay on top of every opportunity - whenever you choose - even on the go. Download the Robert Half app (https://www.roberthalf.com/us/en/mobile-app) and get 1-tap apply, notifications of AI-matched jobs, and much more.All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information.© 2024 Robert Half. An Equal Opportunity Employer. M/F/Disability/Veterans. By clicking “Apply Now,” you’re agreeing to Robert Half’s Terms of Use (https://www.roberthalf.com/us/en/terms) .
Full-time