Come Join us!
Precision Healthcare Solutions is a leading provider of risk adjustment services, specializing in HCC coding and analytics. We are dedicated to delivering high-quality, compliant, and timely coding solutions for healthcare organizations nationwide. Our focus is on ensuring the accuracy of data to improve healthcare outcomes and support Medicare Advantage programs.
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Remote HCC Quality Analyst (Contract)
We are seeking highly skilled HCC Quality Analysts to join our team on a contract basis. The ideal candidate will have experience in quality assurance for HCC coding and will play a crucial role in ensuring the accuracy and compliance of coded data.
Job Summary
The Remote HCC Quality Analyst will be responsible for conducting detailed audits and quality reviews of HCC coding to ensure adherence to CMS guidelines and internal standards. This position requires a deep understanding of risk adjustment coding, exceptional attention to detail, and a commitment to maintaining the highest levels of accuracy.
Key Responsibilities
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Conduct thorough quality audits of HCC-coded charts to ensure accuracy and compliance with CMS, ICD-10-CM, and HCC guidelines
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Identify and correct coding errors or discrepancies by providing clear and actionable feedback to coders
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Review medical records to validate that all appropriate diagnoses are captured and coded correctly for risk adjustment purposes
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Analyze coding trends and report on audit findings to management
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Provide ongoing education and training to coding teams to improve accuracy and compliance
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Collaborate with coding supervisors and management to address coding issues and implement corrective actions
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Stay updated on the latest coding regulations and guidelines to ensure continued compliance
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Assist in developing and maintaining internal audit processes, tools, and best practices
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Support quality improvement initiatives by identifying areas of opportunity and suggesting workflow enhancements
Qualifications
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Current certification from AAPC or AHIMA (CPC, CRC, CCS, or equivalent) required
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Minimum of 3 years of HCC coding and/or auditing experience
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Expertise in CMS-HCC risk adjustment models and ICD-10-CM coding guidelines
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Proven ability to conduct quality audits in a remote environment
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Exceptional analytical skills and attention to detail
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Strong communication skills, with the ability to provide constructive feedback and collaborate with remote teams
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Proficiency in coding software, audit tools, EHR systems, and Microsoft Office Suite
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Ability to meet quality and productivity targets within established timelines
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Reliable high-speed internet connection and secure workspace
How to apply
Interested candidates should submit their resume, proof of coding certification, and audit experience to [email] with the subject line "Remote HCC Quality Analyst Application – [Your Name]." Please include your availability and hourly rate requirements.