Risk Adjustment Coder
5 days ago
Description
• Coders will work daily reviewing medical records abstracting any HCCs that are able to be validated • Codes, abstracts and analyzes inpatient and/or outpatient medical records using International Classification of Diseases • Always coding to the highest level of specificity • Follows the Official ICD-10 guidelines for Coding and Reporting and has a complete understanding of these guidelines • Follows CMS risk adjustment guidelines and has a complete understanding of these guidelines • Understands the impact of ICD-10 codes on the CMS HCC risk adjustment model • Ability to meet productivity and accuracy standards • Ability to defend coding decisions to both internal and external audits • Complies with all policies and standards
Requirements
• CPC or CSS Certification and (2) years direct coding experience required • A High School or GED • 2+ years of experience in professional coding experience either in a hospital or physician setting • A license in one of the following is required: Certified Professional Coder (CPC) or Certified Coding Specialist (CCS)
Benefits
• competitive pay • health insurance • 401K and stock purchase plans • tuition reimbursement • paid time off plus holidays • flexible approach to work with remote, hybrid, field or office work schedules
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