Coder – Risk Adjustment / HCC (Remote)* job vacancy in Cotiviti, Inc. – Jobs in United States

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We got a new job details in Cotiviti, Inc. & they are Hiring Candidates for Coder – Risk Adjustment / HCC (Remote)*

Job Details
Company Name :
Cotiviti, Inc.
Company Location :
United States
Job Position :
Coder – Risk Adjustment / HCC (Remote)*
Job Category :
Jobs in United States

Job Description :
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 1 & Coder 2) for full-time permanent positions.
See what it’s like to work as a Coder at Cotiviti:
Responsibilities (Coder 1 or Coder 2):

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
Coder 2 Only- 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

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

Coder 1: 1-2 years’ coding experience (preferably in medical risk adjustment / HCC coding)
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

Job Demands:

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 only based on your time zone. This role is not intended to work nights, weekends or part-time.


Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c)

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