Skip Navigation
Search Our Jobs

HCC Professional Fee Abstractor

Job ID 6947404 Date posted 01/23/2018
  • Ability to review documentation and abstract all codes with specific emphasis on identifying the most accurate severity of illness according to CMS HCC (Hierarchical Conditions Categories) guidelines
  • Strong understanding of the HCC concepts and impact on Population Health Risk Adjustment reimbursement initiatives
  • Effectively uses computer assisted coding tools to review and interpret medical records and applies in-depth knowledge of coding principles to validate missing, incomplete or incorrect CPT and diagnosis codes
  • Abstracts, sequences and assigns diagnosis and procedures codes according to CMS HCC and all CPT and ICD 9& 10 guidelines.
  • Demonstrates advanced knowledge of medical terminology, anatomy and physiology.
  • Follows up on all outstanding and incomplete provider billing summaries to ensure proper coding
Job Requirements
  • High School Diploma or GED, Bachelor Degree preferred
  •  Minimum 5-7 years' experience as a medical coder and 1 to 2 years as a professional fee abstractor
  • HCC / Medicare Risk Adjustment experience preferred
  • Advanced knowledge of CPT-4, ICD-9, ICD-10, HCPCS
  • Coding certification should be one or more of the following: CPC, CPC-H, CPMA, RHIT, RHIA

Stay in the loop with our job news and opportunities

Select your interestsSearch for a category, location, or category/location pair, select a term from the suggestions, and click “add”.

  • Administrative, New Providence, New Jersey, United StatesRemove