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Change Healthcare Risk Adjustment Coder in Helena, Montana

Overview of PositionChange Healthcare is hiring for full time Risk Adjustment Medical Coder who will identify members’ health conditions, so health plans have appropriate payments to cover care.

We offer:

  • 100% work from home

  • Flexible working schedule

  • Paid training

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. Quality expectations are 95% accuracy on all projects.

  • 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 2 years of experience as a certified coder

  • At least 1 year of risk adjustment experience

  • Ability to code using an ICD-10-CM code book

  • 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

  • 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

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 https://www.eeoc.gov/employers/eeo-law-poster and the supplemental information at https://www.dol.gov/ofccp/regs/compliance/posters/pdf/OFCCP_EEO_Supplement_Final_JRF_QA_508c.pdf.

If you need a reasonable accommodation to assist with your application for employment, please contact us by sending an email to applyaccommodations@changehealthcare.com with "Applicant requesting reasonable accommodation" as the subject. Resumes or CVs submitted to this email box will not be accepted.

Click here https://www.dol.gov/ofccp/pdf/pay-transp_%20English_formattedESQA508c.pdf 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 (https://www.changehealthcare.com/privacy-notice/privacy-notice-to-california-job-applicants) .

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.

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