South Carolina – Remote Risk Adjustment Clinical Coding Specialist

Job Overview

  • Clinical License LPN, LVN, RN
  • State(s) SC
Risk Adjustment Clinical Coding Specialist
We are looking for a professional with certification in medical coding who can jump in from day one.
Our ideal candidate will be committed to organizing, managing, and ensuring the accuracy of health information data.
OVERVIEW: Location: Greenville, South Carolina (preferred) with remote capabilities
Start Date: On/Before November 1st
Type: 6 month contract
• High School Diploma, GED, or suitable equivalent at a minimum
• 3+ years of work experience as Medical Coder for Risk Adjustment
• American Academy of Professional Coders (AAPC)’s CPC and CRC Certifications highly preferred
• Proficient computer skills
• Excellent communication skills, both verbal and written
• Strong interpersonal skills in order to communicate and build positive relationships with patients and staff
• Ability to work with others while completing multiple tasks simultaneously
• Ability to maintain confidentiality of information
• Highly motivated, flexible, and adaptable to working in a dynamic environment
• Proactive and collaborative cross-functional working style
• Highest level of ethics and integrity
• Conducting comprehensive reviews of medical charts for complete and accurate coding
• Reviewing the clinical documentation completed by the providers and querying them for any updates to the medical records based on the highest degree of specificity and accuracy, and ensuring sign-off by providers
• Timely workflow and processing of patient charts and encounters
• Identifying opportunities for more complete documentation of medical encounters based on chart review and analytics provided by software
• Identifying opportunities for reaching optimal Quality performance (i.e. STARS, HEDIS, MIPS) through chart review and development of patient-by-patient quality plans
• Conducting and participating in training/education for providers to instill a culture of excellence related to medical documentation and coding
• Communicating with insurance companies regarding disputes or appeals as it relates to coding • Conducting audits and coding reviews proactively
• Participating in Quality Assurance and Peer Review processes

key qualifications

licenses and certifications


minimum education

High School/GED

years experience

3+ years

schedule details

11/1/2020 – 5/1/20215 days/week


Company with predictive technology and a decision support platform that provides clinicians and care teams with evidence-based protocols.

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