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Risk Adjustment Medical Coder

Change Healthcare

This is a Full-time position in Charleston, WV posted April 8, 2022.

Change Healthcare offers flexible opportunities in the medical field, whether you’re looking for a side gig and supplemental income, or simply want to gain more training and experience in your field. This is the chance to boost your earnings potential – on a flexible schedule – and help transform the entire healthcare industry, from provider to patient.At Change Healthcare, we’re inspiring a better you. TitleRisk Adjustment Medical CoderOverview of PositionChange Healthcare is hiring multiple Risk Adjustment Medical Coders who will identify members’ health conditions, so health plans have appropriate payments to cover care. We accept applications year-round, and active recruitment for these roles typically occurs from July-November. We offer: 100% work from home Flexible working schedule (20 to 40 hours per week) Per chart compensation Paid training W2 tax classification Assigned advocate to help with admin topics What will be my duties and responsibilities in this job? Assign appropriate ICD-10-CM codes, mapping to risk adjustment models as applicable Assign Change Healthcare Flagged Event codes when documentation in the record is inadequate, ambiguous, or otherwise unclear for medical coding purposes Comply with the Standards of Ethical Coding as set forth by the American Health Information Management Association and adhere to official coding guidelines Comply with HIPAA laws and regulations Maintain quality and production standards required by company – all medical coders must maintain minimum QA passing requirements based on HCC scoring model (HCCx < or equal to 5 and HCCm < or equal to 5) Remain current on diagnosis coding guidelines and risk adjustment reimbursement reporting requirements What are the requirements needed for this position? Active certified coder certification (CRC, CPC, CCS - P) through AHIMA or AAPC (CCA, CPC-A not accepted) At least two years of experience as a certified coder At least one year of risk adjustment experience Ability to code using an ICD-10-CM code book (without using an encoder) Knowledge of HIPAA, recognizing a commitment to privacy, security and confidentiality of all medical chart documentation Strong clinical knowledge related to chronic illness diagnosis, treatment and management Computer proficiency (including MS Windows, MS Office, and the Internet High-speed Internet access, a home computer with a current Windows operating system, an internet application, and Adobe Acrobat 6.0 or better What other skills/experience would be helpful to have? Extensive knowledge of ICD-10-CM outpatient diagnosis coding guidelines (knowledge and demonstrated understanding of Risk Adjustment coding and data validation requirements is highly preferred) Reliability and a commitment to meeting tight deadlines (24-hour turnaround time on all assigned charts) Personal discipline to work remotely without direct supervision Exemplary attention to detail and completeness Strong organization, interpersonal, and customer service skills Written and oral communication skills Analytical skills What are the working conditions and physical requirements of this job? General office demands LI-remote Join our team today where we are creating a better coordinated, increasingly collaborative, and more efficient healthcare system COVID Mandate As a federal contractor, Change Healthcare is adhering to the Executive Order which mandates vaccination. As such, we are requiring all U.S. new hires and employees to show proof of being fully vaccinated for COVID-19 or receive an approved accommodation by their date of hire, as a condition of employment. As we continue to navigate the ever-changing COVID-19 pandemic, we remain committed to doing our part to ensure the health, safety, and well-being of our team members and our communities. Proof of vaccination or accommodations requests will be collected once an offer is accepted with Change Healthcare. All accommodation requests will be carefully considered but are not guaranteed to be approved. Equal Opportunity/Affirmative Action Statement Change Healthcare is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, genetic information, national origin, disability, or veteran status. To read more about employment discrimination protections under federal law, read EEO is the Law at and the supplemental information at If you need a reasonable accommodation to assist with your application for employment, please contact us by sending an email to with "Applicant requesting reasonable accommodation" as the subject. Resumes or CVs submitted to this email box will not be accepted. Click here to view our pay transparency nondiscrimination policy. California (US) Residents: By submitting an application to Change Healthcare for consideration of any employment opportunity, you acknowledge that you have read and understood Change Healthcare's Privacy Notice to California Job Applicants Regarding the Collection of Personal Information ( . Change Healthcare maintains a drug free workplace and conducts pre-employment drug-testing, where applicable, in accordance with federal, state and local laws. Change Healthcare is an equal opportunity employer. All qualified applicant will reveive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, genetic information, national origin, disability, or veteran status.