Risk Adjustment Medical Coder

Role Overview

• Demonstrates the ability to perform quality coding of medical records.
• Maintains a working knowledge of ICD-10 and CPT coding principles, governmental regulations, official coding guidelines, and third-party requirements regarding documentation and billing.
• Assures that all services documented in the patient’s chart are coded with appropriate ICD-10 and CPT codes.
• When services/diagnoses are not documented appropriately, they seek to attain proper documentation in a timely manner according to facility standards.
• Achieves and maintains 95% accuracy in coding while maintaining the expected level of productivity.
• Ability to maintain average productivity standards as follows Works the review queue daily to ensure all charts that are placed in the review queue are worked and any corrections are communicated to the facility if necessary.
• Charts that require re-bills are corrected and communicated to the facility daily for the re-bill process.

Requirements

• High School Diploma or equivalent
• 3+ years HCC Risk Adjustment Coding
• CPC or CRC certification from AAPC
• EMR experience
• Must maintain credential throughout employment
• Strong working knowledge & experience with Federal & State Coding regulations and Guidelines

Benefits

• Medical, Rx, Dental & Vision Insurance
• Personal and Family Sick Time & Company Paid Holidays
• Position may be eligible for a discretionary variable incentive bonus
• Parental Leave
• 401(k) Retirement Plan
• Basic Life & Supplemental Life
• Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts
• Short-Term & Long-Term Disability
• Tuition Reimbursement, Personal Development & Learning Opportunities
• Skills Development & Certifications
• Employee Referral Program
• Corporate Sponsored Events & Community Outreach
• Emergency Back-Up Childcare Program