About this role
Role Overview
- conducts quality assurance coding of medical records and ICD-10 diagnosis codes
- assumes ownership and leads advanced and specialized administrative/operational/customer support duties
- ensures coding is accurate and supported by clinical documentation
- reviews medical records to report conditions that map to HCCs by applying the appropriate ICD-10 diagnosis codes
- follows state and federal regulations and internal policies while analyzing coding info
- works on projects that may include making phone calls to providers
- participates on special projects in addition to daily responsibilities
Requirements
- At least one of the certifications from AAPC or AHIMA are required from the list below: CPC or CPC-A
- Certified Professional Coder (AAPC) COC
- Certified Outpatient Coder (AAPC) CIC
- Certified Inpatient Coder (AAPC) CRC
- Certified Risk Coder (AAPC) CCA
- Certified Coding Associate (AHIMA) CCS
- Certified Coding Specialist (AHIMA) CCS-P
- Certified Coding Specialist-Physician Based (AHIMA)
- Experience working in a goal-oriented environment that is production and quality driven.
- Must maintain annual continuing education requirements and remain in good standing with the coding credentialing body, AAPC or AHIMA.
- Must be able to attend a 3 week virtual classroom training, Monday-Friday 8am
- 4:30pm Eastern time
- Must be able to work 40 hours a week, Monday – Friday, with the ability to work mandatory overtime as needed to support business needs.
- Must have a confidential work space in order to work effectively and independently without distractions.
- Proficient using relevant technology including the ability to navigate multiple software applications and perform tasks using digital tools.
Benefits
- medical, dental and vision benefits
- 401(k) retirement savings plan
- time off (including paid time off, company and personal holidays, paid parental and caregiver leave)
- short-term and long-term disability
- life insurance