Risk Adjustment Coder

6 hours ago

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Intus Care

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Geriatrics • Technology • Data Analytics

11 - 50 employees

⚕️ Healthcare Insurance

☁️ SaaS

🤖 Artificial Intelligence

💰 $13.1M Venture Round on 2023-01

Description

• Perform comprehensive medical record reviews and risk adjustment coding using ICD-10-CM guidelines. • Validate diagnostic coding accuracy through natural language processing (NLP) assisted technology. • Review medical records to identify potential missed opportunities. • Support real-time query processes to clarify diagnoses and identify high-risk conditions. • Contribute to quality assurance and compliance initiatives. • Collaborate with clinical teams to improve documentation practices. • Assist in developing and maintaining coding guidelines and protocols. • Participate in coding accuracy and consistency reviews. • Maintain a quality assurance score of 95% or above.

Requirements

• Current CPC, CCS, or RHIT certification AND current CRC certification. • 5+ years of medical coding experience with risk adjustment coding background. • High School diploma required; Associate's or Bachelor's degree preferred. • Demonstrated experience working remotely and independently. • Strong understanding of healthcare regulations and risk adjustment requirements. • Clinical knowledge with proven ability to analyze medical record documentation. • Proficiency in applying coding conventions and official guidelines. • Must pass required coding examination. • Proficiency with electronic medical record systems. • Experience with coding and auditing software. • Strong computer skills and ability to learn new technologies. • Must reside in the United States of America.

Benefits

• Comprehensive benefits including health, dental, and vision insurance. • Opportunities for professional growth and development. • A collaborative, inclusive, and dynamic work environment. • Competitive salary package. • A chance to be a part of a trailblazing team in healthcare technology.