Hierarchical Condition Category Coding Consultant at Intellis


Remote HCC Coding Consultant

Medical Coding Services


Job Description


  • Knowledge of health systems operations, including an understanding of reimbursement methodologies and coding conventions
  • Advanced knowledge and understanding of HCC/risk adjustment, coding and documentation requirements.
  • Demonstrated ability to perform accurate and complete chart reviews for HCC/risk adjustment.
  • Demonstrated ability to identify and communicate trends in provider coding and documentation
  • Excellent written, verbal, communication, and attention to detail skills
  • Ability to perform chart audits of approximately 4 charts per hour (80 pages)
  • The primary coder is required to reach an accuracy per the Inter-Rater Reliability protocols

Essential Functions:

  • Reviews submitted medical records to identify diagnoses/procedures, ensuring that HCC coding guidelines are followed
  • Ensures all diagnoses and services are accurate and complete from the medical record in accordance with ICD-10 CM Guidelines for Coding and Reporting
  • Selects the correct HCC/RxHCC accurately for each ICD-10-CM code for all medical records
  • Confirms the correct code to the highest level of specificity as documented in the medical records
  • Works effectively and efficiently within a team environment
  • Complies with policies and procedures for confidentiality of all patient records and security of systems


  • Must have at least one coding credential (certificate) from AHIMA and/or AAPC organizations
  • A minimum of 5 years’ experience overall coding or auditing in inpatient, outpatient, professional fee or at least 2 years’ experience in focused HCC coding. Experience must include ICD-10-CM.
  • Must be able to travel for one week in January for training onsite. Travel is paid for by company.
  • Proof of US Citizenship
  • Proficient in Microsoft applications to include EXCEL, WORD, and Outlook

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