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Full-time, Temporary
professional certificate
Posted 17d ago
~40 hrs/week
Remote in United States
Responsibilities
The auditor is responsible for reviewing the accuracy of HCC and RxHCC coded records to ensure compliance with Medicare and ICD-10-CM guidelines. They will also provide feedback to coding team members and assist in the creation of training materials.
Requirements
Candidates must hold a professional certification from AAPC or AHIMA, such as CPC, CRC, CCS, or CCS-P. A minimum of 3 years of HCC coding experience and 2 years of auditing experience is required.
Full job description
About Us:
Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals.
We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success.
JOB SUMMARY:
ESSENTIAL DUTIES AND RESPONSIBILITIES: Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member’s performance objectives as outlined by the Team Member’s immediate Leadership Team Member.
Job Description Summary
HCC Coding Quality Specialist Team Members will be responsible for reviewing the accuracy of our HCC coded records, specifically those that map to HCCs and RxHCCs. Auditors will support their findings utilizing Medicare guidelines, ICD-10-CM guidelines as well as client specific
Ensure that the codes captured are supported by the documentation within the record and are properly coded following Medicare guidelines, ICD-10-CM guidelines as well as client specific guidelines for the project.
Support your findings in a way the coder can easily identify and learn from the error.
Have strong and professional communication skills.
Be a resource for HCC coding team members by having a deep understanding of the project and coding guidelines.
Follow Risk Adjustment Data Abstraction Rules.
Assist with the creation of PowerPoints presentations for training purposes.
Will be required to maintain a quality score of 95% or higher.
Will be required to maintain an ongoing productivity level based on project requirements.
Ensure individual compliance with all privacy and security rules and regulations and commit to the protection of all Company confidential information, including but not limited to, Personal Health Information.
Align conduct with AHIMA's Standards of Ethical Coding and the Company’s Code of Ethics and Business Conduct and support the Company’s Ethics and Compliance Program.
Comply with all internal policies and procedures.
Regular, predictable, and punctual attendance is required.
Qualifications:
All auditors MUST be certified through either the AAPC or AHIMA. (Apprenticeship designations are not accepted.) Acceptable credentials would be CPC, CRC, CCS, or CCS-P.
Must have at least 3 years of HCC coding experience with 2 years of auditing experience. Global experience preferred.
Must have working knowledge and experience with systems such as EMRs, Billing systems, abstraction platforms, etc.
If you meet the qualifications, you will receive an email with the assessment link. Completing the assessment is the first step in the interviewing process.
This is a remote position
PHYSICAL DEMANDS: Note: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described. Regular eye-hand coordination and manual dexterity is required to operate office equipment. The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. At times, Team Members are subject to sitting for prolonged periods. Infrequently, Team Member must be able to lift and move material weighing up to 20 lbs. Team Member may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines. A job description is only intended as a guideline and is only part of the Team Member’s function. The company has reviewed this job description to ensure that the essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.
CorroHealth is the leading provider of clinically led healthcare analytics and technology-driven solutions, dedicated to positively impacting the financial performance for physicians, hospitals, and health plans. With over 17,000 employees worldwide, CorroHealth offers integrated solutions, proven expertise, intelligent technology, and scalability to address needs across the entire revenue cycle. Our global presence extends over 10 locations, including the United States, India, and the United Kingdom, enhancing our ability to deliver exceptional service on a large scale. More information can be found at corrohealth.com
Offices: 6509 Windcrest Dr, Suite 165, Plano, Texas 75024, US · Tidel Park, 4th Floor, Elcot SEZ,, Aerodrome Post, Coimbatore 641014, IN · Gar Laxmi Infobahn, 12th Floor-Tower-2, Sy no.107(P), Kokapet Village, Hyderabad, Telangana 500075, IN · The Lords Building 7th Floor, Thiru Vi Ka Industrial Estate, Ekkatuthangal Guindy, Chennai 600032, IN
Revenue Cycle ManagementRevenue Integrityand Healthcare Data and AnalyticsFinanceDocument ManagementHealth CareFinTechAnalyticsFinancial Services
How much do Data & Analytics jobs in Plano, TX pay?
Based on 277 listings with disclosed salaries, most data & analytics jobs in Plano, TX pay between $70k–$203k per year. Individual offers vary with seniority, company size, and specialization.
How many Data & Analytics jobs are open in Plano, TX right now?
There are currently 784 open data & analytics positions in Plano, TX listed on Clera. New openings are added daily as companies post roles.
Which companies are hiring for Data & Analytics roles in Plano, TX?
Companies currently hiring include JPMorganChase, Samsung Electronics France, PepsiCo, NTT DATA North America, Toyota Racing Development, among others. Browse the listings above to see every active employer.
Are there remote or hybrid Data & Analytics jobs in Plano, TX?
Yes — 223 of the 784 open data & analytics positions offer remote or hybrid work (50 remote, 173 hybrid).
How do I apply for Data & Analytics jobs in Plano, TX?
Each listing links directly to the employer's application page. Apply early — fresh listings get the most recruiter attention in the first two weeks.