Description
At HCSC, we consider our employees the cornerstone of our business and the foundation to our success. We enable employees to craft their career with curated development plans that set their learning path to a rewarding and fulfilling career.
Come join us and be part of a purpose driven company who is invested in your future!
Job Summary Under supervision, this position is responsible for researching and analyzing the medical records when there is a discrepancy in coding. Validating the coding and supporting the department in the reporting of findings. This position audits medical records to ensure compliance with the organizations coding procedures and standards according to the CMS coding guidelines and official ICD10 coding guidelines. Reviews insurance payments and denials and recommends coding corrections to risk adjustment vendors, providers and/or CMS. Working directly with clinicians and business partners in coding and documentation best practices. Ability to travel 20 - 30 of the time in and out of state.**This is a work from home position in Texas or Illinois**
**You must live in Texas or Illinois for this role**
Requirements:
- High School Diploma or GED.
- CPC Coding Certification CPC, CCS, CCSP
- 5 years medical coding experience on Risk Adjustment coding for either Medicare Advantage or Retail Exchange business
- Experience with process management
- PC experience an
Preferred Requirements:
- Clinical documentation and/or integrity experience
Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!
HCSC Employment Statement:HCSC is committed to diversity in the workplace and to providing equal opportunity and affirmative action to employees and applicants. We are an Equal Opportunity Employment / Affirmative Action employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Drug screening and background investigation are required, as allowed by law. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.
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