Clinical Risk Adjustment Medical Coder - Remote Healthcare Team Member - $28/Hour - Full-Time Opportunity with BroadPath

Join the BroadPath Team: Where Diversity Drives Innovation and Excellence

BroadPath is a pioneering healthcare company dedicated to delivering high-quality services that transform the way healthcare is delivered. We're on a mission to revolutionize the industry with cutting-edge solutions, and we're looking for talented Clinical Risk Adjustment Medical Coders to join our remote team. As a Clinical Risk Adjustment Medical Coder, you will play a vital role in ensuring accurate and compliant coding practices that facilitate seamless claims processing. If you're a motivated and detail-oriented individual with a passion for healthcare, we want you to be part of our dynamic team!

About Us: Fostering a Culture of Inclusion and Excellence

At BroadPath, we pride ourselves on our commitment to diversity, equity, and inclusion. Our workplace is a vibrant and inclusive environment where individuals from all backgrounds, experiences, and perspectives feel valued and empowered. We believe that a diverse team is the key to driving innovation and delivering exceptional results. As a BroadPath team member, you'll be part of a collaborative and supportive community that celebrates individuality and promotes growth.

Key Job Details:

• Location: Remote
• Position: Clinical Risk Adjustment Medical Coder - Remote Healthcare Team Member
• Company: BroadPath
• Start Date: Immediate openings available
• Compensation: Competitive salary starting at $28/hour

Job Summary:

We're seeking experienced Clinical Risk Adjustment Medical Coders to join our remote team. As a Clinical Risk Adjustment Medical Coder, you will be responsible for accurately coding insurance claims into our database system, ensuring compliance with regulatory requirements, and facilitating seamless claims processing. If you're a skilled medical coder with a passion for delivering high-quality results, we encourage you to apply for this exciting opportunity.

Key Responsibilities:

• Accurate Coding: Assign appropriate ICD-10, CPT, and HCPCS codes to diagnoses and procedures for insurance claims.
• Data Entry: Accurately enter coded information into our database system to ensure timely and precise claims processing.
• Compliance: Ensure all coding and data entry practices adhere to federal regulations, payer guidelines, and company policies.
• Medical Record Analysis: Analyze and review medical records to verify completeness and accuracy of coding information.
• Communication: Communicate effectively with healthcare providers to clarify diagnoses and obtain additional information when needed.
• Collaboration: Collaborate with internal departments or vendors to address and resolve any coding-related issues or discrepancies.
• Productivity: Meet all department goals and process workload in a timely and efficient manner by CMS deadlines.
• Quality Improvement: Support quality improvement interventions by collecting medical records data.
• Data Extraction and Analytics: Participate in data extraction, financial reconciliation, and analytics.
• Project Discussions: Participate in discussions with respect to ongoing projects.
• Results Presentation: Present results to senior leaders.
• Ad Hoc Analysis: Perform ad hoc analysis for multiple product lines.
• Multi-Tasking: Demonstrate ability to multi-task, manage at a macro level, and dig deep into issues for successful resolution.

Requirements:

Essential Qualifications:

• Certification: Valid Medical Coder certification from AHIMA or AAPC, such as:
  • Certified Coding Specialist (CCS)
  • Certified Coding Specialist-Physician Based (CCS-P)
  • Risk Adjustment Coding (RAC)
  • Certified Professional Coder (CPC)
  • Certified Outpatient Coder (COC)
  • Certified Risk Adjustment Coder (CRC)
  • Certified Inpatient Coder (CIC)
• Experience: Minimum 2-5 years of experience in Risk Adjustment/HCC coding.
• Risk Adjustment Knowledge: Ability to identify risk adjustment codes/models.
• Critical Thinking: Demonstrated critical thinking skills.
• Medicare Severity Adjustment: Expert knowledge of Medicare severity adjustment processes and tools.
• Medicare Advantage Experience: 1+ year of experience working with Risk Adjustment in Medicare Advantage, Medicaid, and/or ACA.

Preferred Qualifications:

• Recent Experience: Recent experience preferred (within the last year).
• Multi-Vendor Experience: Experience with multiple vendors and/or health plans preferred.

What We Offer:

• Competitive Compensation: Starting at $28/hour.
• Full-Time Opportunity: 40 hours per week.
• Remote Work: Work from the comfort of your own home.
• Diverse and Inclusive Culture: Join a team that celebrates diversity and drives innovation.
• Career Growth: Opportunities for professional growth and development.
• Learning Benefits: Enhance your skills and knowledge with our training and development programs.

Why Join BroadPath?

At BroadPath, we're committed to delivering exceptional results and fostering a culture of inclusion and excellence. As a Clinical Risk Adjustment Medical Coder, you'll be part of a dynamic team that values diversity, promotes growth, and drives innovation. If you're passionate about healthcare and delivering high-quality results, we encourage you to apply for this exciting opportunity.

How to Apply:

If you're a motivated and detail-oriented individual with a passion for healthcare, we want to hear from you! Apply now to join our team and take the first step towards a rewarding career with BroadPath.

Apply To This Job

Equal Employment Opportunity:

BroadPath is an Equal Opportunity Employer. We do not discriminate against our applicants because of race, color, religion, sex (including gender identity, sexual orientation, and pregnancy), national origin, age, disability, veteran status, genetic information, or any other status protected by applicable law.

Accommodation Due to Disability:

If you need accommodation due to a disability, please email us at [email protected]. This information will be held in confidence and used only to determine an appropriate accommodation for the application process.