Job Description
CSI Companies is actively hiring for a REMOTE SENIOR Risk Adjustment Medical Coder for a HHS IVA RADV Audit. The coder will be required to work full-time hours ( minimum 35 hours a week).
This position requires a minimum of 3 years Risk Coding on Commercial Charts. We strongly desire coders with ACA HHS IVA RADV experience.
Check out what other coders are sharing about their experience working at CSI- Indeed Reviews
The What You Want to Know!
- 100% REMOTE - Work from home
- Flexible working schedule
- PAY PER HOUR model
- Paid training
- Long term contract position- Benefits Offered!
- Required Certification: Active certified coder certification through AHIMA or AAPC required: CRC, CPC, CCS-P, CCS (Certified Risk Adjustment Coder, Certified Professional Coder, Certified Coding Specialist- Physician Based)
- Pay: $26-30/hr based on experience
- Assign appropriate ICD–10-CM codes, mapping to Risk Adjustment models as applicable
- Assign Event codes when documentation in the record is inadequate, ambiguous, or otherwise unclear for medical coding purposes
- 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
- Support chart audit processes, including audit provider and vendor documentation of ICD-9 and ICD-10 codes to ensure adherence with Center for Medicare & Medicaid Services (CMS) Risk Adjustment guidelines, and act as a liaison between internal departments and external entities on regulatory data validation audits (including HHS RADV).
- Perform root cause analysis to identify issues that may contribute to coding and documentation deficiencies.
- Perform internal and external coding quality reviews to validate correct ICD-10-CM code assignments.
- Maintain quality and production standards required by company - all medical coders must maintain minimum QA passing requirements. Quality expectations are 95% accuracy on all projects.
- Remain current on diagnosis coding guidelines and Risk Adjustment reimbursement reporting requirements
- Active certified coder certification (CRC, CPC, CCS, CCS - P) through AHIMA or AAPC
- Minimum 3 years of experience as a certified coder
- Minimum 3 year of Risk Adjustment experience
- A minimum of 2 years experience Risk Coding Commercial Charts
- Ability to code using an ICD-10-CM code book
- Computer proficiency (including MS Windows, MS Office, and the Internet
- High-speed Internet access
What other skills/experience would be helpful to have?
- Knowledge of HIPAA, recognizing a commitment to privacy, security and confidentiality of all medical chart documentation
- Prior experience with ACA HHS IVA RADV projects
- Strong clinical knowledge related to chronic illness diagnosis, treatment and management
- Extensive knowledge of ICD-10-CM outpatient diagnosis coding guidelines (knowledge and demonstrated understanding of Risk Adjustment coding and data validation requirements is highly preferred)
- Reliability and a commitment to meeting tight deadlines
- Personal discipline to work remotely without direct supervision
- Exemplary attention to detail and completeness
- Strong organization, interpersonal, and customer service skills
- Written and oral communication skills
- Analytical skills
#CSIRISKADJ
This is a remote, work from home position. You may be located anywhere within the US.