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Job Description

Insight Global is hiring HCC/Risk Adjustment Medical coders to support a backlog for inpatient and outpatient Medicare advantage projects . 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 a plus, but not required as not all risk adjustment coders will have experience there. 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.

DAY TO DAY/EXPLANATION OF ROLE:

Will be coding more risk adjustment vs profee

Also, most of our 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.

We have opportunities to review the following chart types.

Outpatient

Including all specialties acceptable for risk adjustment.

Common specialties include, but not limited to

Family Medicine

Internal Medicine

Cardiology

Pulmonology

Podiatry

Ophthalmology

Neurology

Behavior Health

Cancer Centers

Inpatient (Hospital and/or SNF)

Home visits

We are a company committed to creating inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity employer that believes everyone matters. Qualified candidates will receive consideration for employment opportunities without regard to race, religion, sex, age, marital status, national origin, sexual orientation, citizenship status, disability, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to Human Resources Request Form (https://airtable.com/app21VjYyxLDIX0ez/shrOg4IQS1J6dRiMo) . The EEOC "Know Your Rights" Poster is available here (https://www.eeoc.gov/sites/default/files/2023-06/22-088\_EEOC\_KnowYourRights6.12ScreenRdr.pdf) .

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Skills and Requirements

Active CPC or CCS

3-5 years of HCC/Risk Adjustment coding experience

Concurrent coding

Experience in a high production, fast paced environment null

We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal employment opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment without regard to race, color, ethnicity, religion,sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military oruniformed service member status, or any other status or characteristic protected by applicable laws, regulations, andordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or the recruiting process, please send a request to [email protected].