Certified Coders Needed

HCC CODERS / AUDITORS 

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 - kgifford@ermconsultinginc.com