Flexible work hours - nights and weekends are acceptable.

• Coders will review member and claim data validation aspects, which include: Member name, Member DOB, Gender, Dates of service, claim type, and provider signature
• Coders will be presented with all risk-adjusting diagnoses billed on a claim for a particular date of service or inpatient stay
• Must be able to identify acceptable provider specialty
• Coder must have knowledge of ICD-10-CM IP and OP coding
• Coders will confirm or not confirm each diagnosis
• Coders will add risk-adjusting diagnoses that are valid but not reported

Requirements

Active certification through AAPC or AHIMA is required

Minimum 5 years verifiable risk adjustment coding experience post certification

Must be able to maintain a 95% accuracy rate and 3 CPH

US-Based Candidates Only