ERM Consulting is looking for several HCC Coders and Auditors for remote and on-site positions.
HCC Coders / Auditors will be primarily responsible for conducting reviews of medical records and validating submitted diagnoses codes to ensure all diagnoses and services are accurately and completely coded.
HCC Coders / Auditors will also support a variety of other efforts including but not limited to:
Identifying errors / opportunities in clinical documentation and coding.
Tracking and trending audit results and preparing reports.
Identifying members with "dropped" and / or "suspect" HCC conditions.
Completing supplemental data reports for clients.
Onsite education and training for providers and coders.
Facilitating efficient and effective interventions to ensure accurate and complete coding.
PLEASE NOTE- LOCATION is Fort Lauderdale, Florida for on-site positions.
What you'll do:
Review submitted medical records and identify and code all ICD-10-CM diagnoses that map to a Risk Adjusted HCC and/ or RxHCC ensuring the documentation meets all CMS standard requirements for valid HCC submission.
Oversee the outreach/intervention strategy and participates in ongoing development to determine best practices approach with members and providers to assist in improving risk adjustment factors.
Work with clients to optimize risk adjustment efforts including communicate opportunities to collaborate and provide updates regarding risk adjustment efforts.
To be considered for this position, you must have:
High School Diploma or equivalent
Current AAPC CPC (Certified Professional Coder) or AHIMA CCS (Certified Coding Specialist) credential is required.
CRC (Certified Risk Coder) Certification within 6 months post hire.
5+ years recent experience in medical record review, diagnosis coding, and/or auditing is required.
8+ years general coding and / or billing experience.
An equivalent combination of education and experience may be substituted for this requirement.
The strongest candidates for this position will also possess:
An Associate's degree from an accredited college or university. Experience with Medicare and/or Commercial risk adjustment
Experience with Medicare and/or Commercial risk adjustment process is preferred.
Experience/understanding of electronic medical & health records is preferred.
Please email resumes to Kameron Gifford - firstname.lastname@example.org