Remote Medical Coder/Auditor

A Certified Remote Medical Coder is needed in an Internal Medicine group practice. Coder must have demonstrated proficiency in Risk Adjustment and Hierarchical Condition Categories (HCC) coding in an outpatient Upgrade to see actual infodical coder performs medical chart audits for evaluation, management, and documentation. This role also interfaces and disseminates audit results to clinicians and management.

This is a Part-Time to Full-Time remote (work from home) position (schedule is subject to change). Work hours will be assigned according to the workload assigned to the coder.

Duties and Responsibilities:

• Daily review medical record information to identify and assign all appropriate coding (ICD–10-CMs, CPTs, and HCPCSs) based on risk adjustment models and CMS HCC categories.
• Verify and ensure the accuracy, completeness, specificity, and appropriateness of diagnosis codes based on services rendered.
• Demonstrate analytical and problem-solving ability regarding barriers to receiving and validating accurate HCC information.
• Conducts provider chart audits to identify incorrect coding, prepares reports of findings and any compliance issues.
• Reports coding patterns identified within the audit process to the Manager and identifies corrective measures to compliance problems.
• Provide support, education, and training related to, quality of documentation, level of service, and diagnosis coding consistent with established coding guidelines and standards.
• Maintain a minimum 95% acuracy on coding quality audits
• Maintain minimum production of 4 charts per hour
• Remain current on diagnosis coding guidelines and risk adjustment reimbursement reporting requirements.
• Maintain quality and production standards required by the medical group.
• Comply with the Standards of Ethical Coding as set forth by the American Health Information Management Association and adhere to official coding guidelines.
• Comply with HIPAA laws and regulations.
• Handle other related duties as required or assigned by the physician and practice administrator

Required skills and experience:

• Must have a minimum of GED or High School Diploma
• Must have 2+ years of Risk Adjustment, HCC coding, and Medicare Advantage reimbursement experience. Preferably CPC and CRC certified.
• Must have 2+ years of working as a medical coder (where coding was 90% or more of your job duties, and you were held to quality and productivity goals).
• Must have strong clinical knowledge related to chronic illness diagnosis, treatment, and management;
• Must have an excellent understanding of medical terminology, disease process and anatomy, and physiology.
• Must have an excellent understanding of ICD-10-CM coding classification, CPT, and HCPCS in Primary care setting.
• Must have active coding certification through AAPC ( CPC and CRC).
• Must have High Computer proficiency (including MS Windows, MS Office, and the Internet)
• Must be task-oriented, reliable, and be able to meet designated deadlines and productivity standards (24-hour turnaround time on all assigned charts required).
• Must have strong Personal discipline to work remotely without direct supervision;
• Must have Knowledge of HIPAA, recognizing a commitment to privacy, security, and confidentiality of all medical chart documentation.
• Must have strong organizational skills; interpersonal and customer service skills; excellent English written and oral communication skills; and analytical skills.
• Must have a primary dedicated Windows 10 or Higher OS desktop or laptop with at least i5 processor, 8 GB RAM with an HD webcam (Include a link showing the computer system Properties)
• Must have a Backup PC or Laptop conforming to primary computer specifications. (Laptop - Please detail hardware/software configuration when applying)
• Have a reliable, secure, and private high-speed internet connection (at least 3mbps up and down speed)
• Must have a Backup ISP

Application Instructions (applicants must strictly follow application instructions or application will be discarded)

1. Preinterview Task: Upgrade to see actual info

2. Provide the following:
Skype ID and best times to reach you in CST:
Unrestricted link to your Resume:
Unrestricted link to your Typing Test Result:
Unrestricted link to your computer properties image:
Unrestricted link to your network speed image:

3. Which EHR system have you used, and for how long?

4. Have you ever worked as a remote coder? If yes, for how long?

5. Are you currently working? If yes, what are your current work hours?

6. The position supports outpatient practice located in Central US Standard Time work hours. Are you willing and available to work these hours?