Coding Consultant

IntusCare(1 month ago)

RemoteFull TimeSenior$143,815 - $193,322 (estimated)Business

About this role

The Coding Consultant at IntusCare is responsible for delivering precise risk adjustment coding services for IRIS clients, focusing on reviewing medical records, assigning diagnosis codes, and ensuring compliance with CMS-HCC standards. The role involves maintaining a coding accuracy score of 95% or higher, adhering to established productivity targets, and collaborating with team members for clarification or workflow adjustments. This position requires certifications such as CPC or CCS and a strong knowledge of CMS-HCC models and diagnosis coding guidelines.

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Required Skills

Risk Adjustment Coding
Medical Record Review
Diagnosis Code Assignment
Documentation Validation
Compliance Adherence
Quality Improvement
Internal Audits
Peer Reviews
Coding Accuracy
Productivity Targets

+11 more

Qualifications

CPC
CCS
RHIT
CRC (Certified Risk Adjustment Coder)
High school diploma
Associate’s degree or Bachelor’s degree preferred

About IntusCare

www.intuscare.com

IntusCare is a technology ecosystem specifically crafted for PACE (Program of All-Inclusive Care for the Elderly) organizations. Designed in collaboration with these programs, IntusCare’s solutions aim to streamline operations, enhance financial performance, and ensure compliance, thereby allowing providers to focus on delivering exceptional care. With a commitment to reducing complexity, IntusCare empowers over 70 PACE programs and their 50,000 participants nationwide, achieving measurable improvements in care delivery and operational efficiency.