Hcc Coding Specialist (Medical)

TL;DR

Hcc Coding Specialist (Medical): Delivers value to the Health Plan and its beneficiaries by performing Hierarchical Condition Category (HCC) coding on projects for MA, ACA, and End Stage Renal Disease (ESRD) with an accent on CMS coding guidelines and Risk Adjustment Data Validation (RADV) Audits. Focus on documentation improvement, provider education, analyzing reports, and identifying process improvements.

Location: Remote (Pennsylvania)

Company

hirify.global delivers health-related services and solutions.

What you will do

• Perform HCC coding on projects for MA, ACA, and End Stage Renal Disease (ESRD).
• Assist with Regulatory Audits by performing first coding review and ranking of charts.
• Build partnerships and work within coding teams and internal partners critical to HCC coding.
• Participate on ad-hoc projects per the direction of Leadership to address the needs of the department.
• Engage in RPM Coding educational meetings and annual coding Summit.

Requirements

• 3 years HCC coding and/or coding and billing.
• Certified Professional Coder (CPC), Certified Risk Coder (CRC), Certified Coding Specialist (CCS), or Registered Health Information Technician (RHIT).
• Critical Thinking.
• Attention to Detail.
• Written and Oral Presentation Skills.
• Proficiency in MS Word, Excel, Outlook, PowerPoint, MS365 & Teams.

Culture & Benefits

• Adherence to ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.
• Compliance with the Health Insurance Portability Accountability Act of 1996 (HIPAA).
• Compliance with the company’s Code of Business Conduct.