Insight Global is hiring 3 HCC/Risk Adjustment Certified Professional Coders to support a backlog for inpatient and outpatient Medicare advantage projects. Will be expected to meet high production metrics and maintain a 96% accuracy score. This team codes the chart right after the patient sees the physician, which requires coders to query the provider as needed. The work will mostly be concurrent coding or pre-bill coding, with some retrospective coding projects and CPT coding/review.
Must obtain an active Coding certification (CPC) through AAPC or AHIMA, or a CCS.
Will be coding more risk adjustment vs profee.
Most of the markets are strictly risk adjustment focusing on HCC ICD-10 codes only. We do code from the problem list with supporting documentation, so experience with problem list coding is preferred,. Will also be responsible to validate the CPT codes and non-HCC codes. These markets are still only reviewing Medicare Advantage members. I would say 20-30% of our work require CPT review. Also, most of the projects are concurrent coding. (Current progress notes, only reviewing one progress note at a time). Our concurrent coding projects will also require the coders to query the providers for conflicting documentation or lack of specificity, and occasionally suspect. We do sometimes have retro projects that will encompass reviewing all progress notes for one patient in a one-to-two-year period. All our retro projects are HCC coding only.
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Must have active CPC certification through AAPC or AHIMA, OR Certified Coding Specialist (CCS)
3+ years minimum of HCC coding OR Fee for service coding experience.
Comfortable with CPT coding
Strong ICD-10 guideline experience
Concurrent Coding or pre-bill coding experience
Proven experience working in a high volume production role, ability to maintain 96% accuracy
Benefit packages for this role will start on the 31st day of employment and include medical, dental, and vision insurance, as well as HSA, FSA, and DCFSA account options, and 401k retirement account access with employer matching. Employees in this role are also entitled to paid sick leave and/or other paid time off as provided by applicable law.