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Risk Adjustment Coder Job in Irvine,, California

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Job Title: Risk Adjustment Coder

Employer:Advanted LLC
Job Location:Remote
Skills:Risk Adjustment,Coding,RADV
Required Certifications:CCS,CPC
Preferred Certifications:CPC,CCS
Required Experience:1 to 2 years
Preferred Experience:1 to 2 years
Location:17981 Sky Park Circle, Suite B & C Irvine, 92614, CA, US
* Note: This listing is for a remote position
Date Posted:8/3/2021

About us

Advantmed is a national market leader of PHI exchange, and disclosure management solutions designed to support and protect healthcare organizations. To fulfill our mission, we employ a unique and dedicated approach to ensuring thoughtful customer service and quality, within the retrieval and release of information marketplace. Advantmed delivers a white glove experience from the start of service, through the entire customer relationship. This is a commitment we make to every customer, and the expectation we have of every employee.

Job Description

Review medical records and decipher if they are accurate and complete, accurate and in support of patient risk adjustment score accuracy Educate providers and their staff in Medicare coding guidelines, with special focus on revenue enhancement opportunities Develop plans and materials that support the educational and training needs of the medical practice, by collaborating with internal departments Oversee medical records and correct incomplete or incorrect codes for both active and previous conditions Review medication list to verify if there is a correlating condition or if an active condition is being treated with medication Ascertain that all specialist and hospital consults and lab, radiology and pathology reports are properly reviewed Audit documentation including confirming each condition or screening that is marked as assessed Communicate with providers to ensure that correct codes are chosen and add required updates Provide coding and guideline education to all coders and providers Perform chart reviews, aimed at identifying missed diagnosis in all applicable healthcare settings Ascertain that coding efficiency and accuracy is improved by performing independent audits of physician and hospital records Develop tools and metrics to ensure that the accuracy and completeness of coding and documentation is improved Punch in codes for medical services rendered, ensuring the accuracy of each enter in the database.

Working Schedule

Must be able to work minimum of 20 hours, max 40 hours per week, Monday thru Friday, sometime between the hours of 6am EST and 11:30 pm EST.  Hours would be scheduled by candidate in the prior week in our system.  No overtime, no weekends.

Candidates would need to be available for training between the hours of 8a-5p EST Mon-Fri for a minimum of 1 week to 2 weeks, depending on scores from practice records.


·         1-2 years coding experience.

·         Absolute requirement 1 year Risk Adjustment/HCC coding experience

·         ICD-10 coding, understands what TAMPER is, knows disease processes and can apply to that knowledge to suspect coding.

·         Coding ICD-10; Suspect Coding

·         Certified coder for level 2 review of single dates of service for attestation reconciliation in WellMed System


Pay Rate 

You will be $20 per hour


·         CPC or CCS minimum



In order to Apply for this position, Kindly email your updated resume to below mentioned names-

1 Sandeep Dhar - sandeep.dhar@advantmed.com
2 Megha Joshi- megha.joshi@advantmed.com

You can also reach out to us via phone on 949-272-9629 Ext 4140

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