Nurse Coder (Remote Opportunity)

The Clinical Validation Auditor I will independently review cases, ensuring accurate ICD-10-CM risk adjusted coding and clinical documentation. They will stay abreast of current changes to the Risk Adjustment field and continue education to maintain high level proficiency. 

Responsibilities: 

• Independently reviews cases, ensuring accurate ICD-10-CM risk-adjusted coding and clinical documentation. 
• Responsible for performing First and Second reviews of QI work as assigned. Remains updated on current changes to ICD-10-CM coding, risk adjustment, and QI Guidelines. 
• Demonstrates proficiency in independent research and utilizing QI resources, i.e., mapping diagnoses in ICD-10-CM Coding Manual, AHA Coding Clinic, Find-A-Code, Drugs.com/DailyMed. 
• Able to change activities and priorities to meet new demands. 
• Effectively communicates. 
• Maintains clinical license and coding certifications. 
• Executes other responsibilities per business needs. 
• Productivity requirements as follows, calculated as a rolling four-week average:  

• Minimum 60 case reviews per day average first 6 months. 
• Minimum 65 case reviews per day average 6m-1yr. 
• Minimum 70 case reviews per day average after 1 yr. 

•  IRR requirement as follows, calculated as a rolling four-week average: 

• Minimum 95% average IRR 1st year. 
• Minimum of 96% average IRR > 1 year. 

Requirements

• Professional clinical license with minimum of 3 years of clinical experience. (RN license preferred)
• Bachelor’s Degree or equivalent combination of education and experience. 
• Certified Risk Adjustment Coder Certification 
• 1 years Risk Adjustment coding experience. 
• Working knowledge of ICD-10 CM guidelines and appropriate clinical documentation. 
• Experience reviewing clinical cases. 
• High level of expertise in navigating EMRs. 
• Proficient in Microsoft Office 

Benefits

WORKING AT VATICA HEALTH ADVANTAGES

Prosperity

• Competitive salary based on your experience and skills – we believe the top talent deserves the top dollar
• Bonus Potential (based on role and is discretionary) – if you go above and beyond, you should be rewarded
• 401k plans– we want to empower you to prepare for your future
• Room for growth and advancement- we love our employees and want to develop within

Good Health

• Comprehensive Medical, Dental, and Vision insurance plans
• Tax-free Dependent Care Account
• Life insurance, short-term, and long-term disability

Happiness

• Excellent PTO policy (everyone deserves a vacation now and then)
• Great work-life balance environment- We believe family comes first!
• Strong supportive teams- There is always a helping hand when you need it

The salary for a position is typically determined by multiple factors such as the individual's qualifications, experience, skills, and location. The projected compensation range for the position may vary based on these factors and could range from $65,000 to $85,000 (annualized USD). However, this estimate represents just one aspect of our total compensation package offered.

Are you up to the challenge? What are you waiting for? Apply today!