Cotiviti drives better healthcare outcomes through data analytics. Our payment accuracy, revenue integrity, risk assessment and stratification, and quality improvement solutions help organizations utilize their data so they can efficiently and cost-effectively succeed in the new era of healthcare.

We are currently looking for multiple Remote Risk Adjustment / HCC Coders for full-time seasonal positions.

**Details** This role is seasonal, estimated to last 6 months, starting at the end of May 2024 through January 2025...ongoing seasonal employment will be based on performance.  Available hours will be based on the volume of work but we hope to have up to 40 hours available each week.  Hours can be flexible except for the first week of employment, there will be some required hours.  Experience in HCC/Risk Adjustment coding is required along with an active coding certification through the AAPC or AHIMA (CPC, CRC, CCS, etc.). 

See what it's like to work as a Coder at Cotiviti:
https://www.youtube.com/watch?v=-VgcV09cxCo

• Review medical records for accurate, compliant, and complete diagnosis code abstraction for Medicare, Commercial and Medicaid risk adjustment from various chart types (physician, facility, and non-facility).
• Code following the ICD-10-CM Official Guidelines for Coding and Reporting, AHA’s Coding Clinic and well as Cotiviti and client specific coding guidelines.
• May have special projects that will entail a full coding review.
• Regularly and consistently achieve over 95% quality accuracy.
• Assist with mentoring new Risk Adjustment Coders under direction of training team in learning the rules, guidelines of coding and the application of Cotiviti policies and procedures for appeals review.

Education: minimum High School Diploma

Required Certifications: Nationally certified coder in good standing through the AAPC or AHIMA (CRC, CPC, CCS, etc.). 

Experience: 

• Coding: 2+ years’ experience in medical risk adjustment / HCC coding.
• Experience in HCC record abstraction and coding requirements.

Knowledge, Skills & Abilities:

• Demonstrated high level of quality accuracy and productivity in clinical coding work.
• Adherence to official coding guidelines (including coding clinics, CMS, client specific guidelines and other regulatory compliance guidelines and mandates).
• Excellent written and verbal communication skills with the ability to understand and explain complex information.
• Strong knowledge of medical terminology and anatomy and physiology.
• Skills in organization and time management.
• Comfortable with computers and technology.
• Must be able to work in a fast-paced environment.
• Ability to manage and meet deadlines, adapt to changing priorities, flexible and open to new ideas.
• Must be able to perform duties with or without reasonable accommodation.
• Must participate in all required training.
• Must abide by all HIPAA and associated patient confidentiality requirements.
• This is a home-based position and requires individuals to work within the continental US, have a place to work that is free from distractions and have a high-speed internet connection.
• This role is aligned to certain productivity and quality requirements.
• Required hours for training: Week 1 Only - Monday- 9 AM – 5 PM ET; additional hours will be required during week one to complete compliance training and other coding training courses. 
• Working hours: flexible hours up to 40 hours per week between the hours of 5 AM - 10 PM ET any day. 

Base compensation ranges from $25.00 Hr. to $29.00 Hr. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs. This role is eligible for discretionary bonus consideration.

Date of posting: 4/5/2024

Applications are assessed on a rolling basis. We anticipate that the application window will close on 6/5/2024, but the application window may change depending on the volume of applications received or close immediately if a qualified candidate is selected.

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