Medical Coder III-Fully Remote-Must be a Certified Risk Coder through AAPC

Medical Coder III-Large Managed Care Company

Fully Remote

One year contract-potential for extension and/or perm hire

Up to $28 an hour/$25 plus health insurance

7-4pm or 8-5pm local time M-F. Potential for 5-10 hours a week of OT

Job Duties:

· Abstract and review inpatient and outpatient medical records for (Hierarchical Condition Categories) HCCs to determine if the HCC is supported by the medical record documentation.

· Knowledge of ICD-9 ICD10 Official Coding Guidelines, AHA Coding Clinic, including Codling clinic clarifications for DOS year under review. CMS RADV Medical Reviewer Guidance (1/10/2020).

Top Skills Required:

· Must have prior experience with CMS Contract Level Risk Adjustment Data Validation Audits (RADV) and HHS RADV audits and IPM audits.

· Must have prior vendor coding review experience.

· Must have the ability to complete chart review production requirements.

· Must be experienced in risk adjustment auditing.

· Must possess valid Certified Risk Adjustment Coder credential through AAPC.

· Must have 5+ years of risk adjustment auditing experience with a focus on CMS and HHS RADV reviews.

Must Haves:

· Must have a Certified Risk Adjustment Coder certification (CRC) through AAPC or AHIMA ·

· Will need to maintain a 95% or better coding accuracy performance ·

· Adherence to coding accuracy and productivity policy and procedure regarding diagnosis code completeness and data entry in each coding accuracy review

· Evaluate each medical record to ensure M.E.A.T. criteria support the existence of all submitted diagnosis codes ·

· Review supplied medical records to determine if diagnosis codes mapping to HCCs meet CMS and HHS documentation guidelines ·

· Must have intermediate/advanced Microsoft Excel skills ·

· Well versed in ICD-10 Official Coding Guidelines, AHA Coding Clinic and any Coding Clinic Clarifications for DOS year under review ·

· Should have prior CMS RADV contract level audit and HHS RADV coding experience.

· Should be familiar with Medicare Advantage and ACA lines of business

#ALLJ

Pay: Up to $28.00 per hour

Benefits:

  • 401(k)
  • Health insurance

Experience:

  • RADV Auditing for Medicare/Medicaid: 5 years (Required)

License/Certification:

  • CRC Certified Risk Coder-AAPC (Required)

Work Location: Remote

Back to blog

Common Interview Questions And Answers

1. HOW DO YOU PLAN YOUR DAY?

This is what this question poses: When do you focus and start working seriously? What are the hours you work optimally? Are you a night owl? A morning bird? Remote teams can be made up of people working on different shifts and around the world, so you won't necessarily be stuck in the 9-5 schedule if it's not for you...

2. HOW DO YOU USE THE DIFFERENT COMMUNICATION TOOLS IN DIFFERENT SITUATIONS?

When you're working on a remote team, there's no way to chat in the hallway between meetings or catch up on the latest project during an office carpool. Therefore, virtual communication will be absolutely essential to get your work done...

3. WHAT IS "WORKING REMOTE" REALLY FOR YOU?

Many people want to work remotely because of the flexibility it allows. You can work anywhere and at any time of the day...

4. WHAT DO YOU NEED IN YOUR PHYSICAL WORKSPACE TO SUCCEED IN YOUR WORK?

With this question, companies are looking to see what equipment they may need to provide you with and to verify how aware you are of what remote working could mean for you physically and logistically...

5. HOW DO YOU PROCESS INFORMATION?

Several years ago, I was working in a team to plan a big event. My supervisor made us all work as a team before the big day. One of our activities has been to find out how each of us processes information...

6. HOW DO YOU MANAGE THE CALENDAR AND THE PROGRAM? WHICH APPLICATIONS / SYSTEM DO YOU USE?

Or you may receive even more specific questions, such as: What's on your calendar? Do you plan blocks of time to do certain types of work? Do you have an open calendar that everyone can see?...

7. HOW DO YOU ORGANIZE FILES, LINKS, AND TABS ON YOUR COMPUTER?

Just like your schedule, how you track files and other information is very important. After all, everything is digital!...

8. HOW TO PRIORITIZE WORK?

The day I watched Marie Forleo's film separating the important from the urgent, my life changed. Not all remote jobs start fast, but most of them are...

9. HOW DO YOU PREPARE FOR A MEETING AND PREPARE A MEETING? WHAT DO YOU SEE HAPPENING DURING THE MEETING?

Just as communication is essential when working remotely, so is organization. Because you won't have those opportunities in the elevator or a casual conversation in the lunchroom, you should take advantage of the little time you have in a video or phone conference...

10. HOW DO YOU USE TECHNOLOGY ON A DAILY BASIS, IN YOUR WORK AND FOR YOUR PLEASURE?

This is a great question because it shows your comfort level with technology, which is very important for a remote worker because you will be working with technology over time...