Risk Adjustment Medical Record Coder

Role Overview

• Perform first-pass reviews of member medical records to identify and capture active conditions that map to risk values
• Maintain compliance with CMS risk adjustment diagnosis coding guidelines
• Perform comprehensive 1st pass reviews of medical records and physician assessment forms (HCC coding)
• Assist with the intake and quality assurance of medical records as necessary
• Perform or participate in special projects as directed by management
• ICD-10 Coding assessment is required.

Requirements

• Associates degree or equivalent work experience required
• 1 year
• Progressive medical coding and health care experience required
• Professional coding certification from AHIMA or AAPC (CPC, CCS, RHIT, RHIA)
• Strong expertise in HCC (Hierarchical Condition Category) coding
• Must acquire the Certified Risk Adjustment Coder (CRC) certificate from AAPC within one year, after completed training
• Proficient in Microsoft Office (Outlook, Word, Excel and PowerPoint)
• Understanding of ICD-10 coding standards required.

Benefits

• flexible work arrangements
• Professional development opportunities