Medical Coder - Risk adjustment

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Job Overview:

Seeking skilled individuals for our medical coding team to conduct retrospective and concurrent chart reviews. Use HCC coding expertise to translate, input, extract, and validate medical data. Collaborate with Certified Risk Coders and Supervisors to ensure accurate diagnosis documentation and HCC abstraction through daily chart reviews.

Responsibilities:

Collaborate with Certified Risk Coders and Supervisors on daily chart reviews.

Demonstrate strong ICD-10 coding knowledge.

Follow client-specific guidelines and updates for chart coding.

Exhibit strong qualitative and analytical skills.

Possess knowledge of medical terminology.

Demonstrate computer skills, including typing ability.

Meet deadlines with minimal direction and low error rate. Communicate effectively with all organizational levels.

Review comprehensive patient medical records to ensure diagnosis codes are supported and compliant (M.E.A.T).

Evaluate diagnoses for Hierarchical Condition Categories (HCC) coding.

Maintain compliance, confidentiality, and uphold the organization's mission and philosophy.

Qualifications:

Knowledge: Strong working knowledge of ICD-10 and Risk Adjustment models.

Experience: CPC, CCS or CCS-P Certification required. Minimum 2 years of HCC (Hierarchical Condition Category) coding experience for professional services across multiple specialties required. Certified Risk Adjustment Coder (CRC) through AAPC desired.

Skills: Familiarity with Medicare Advantage plan operations including HEDIS, AWVs, HCCs, and RAF scoring.

Good communication and interpersonal abilities.

Basic computer proficiency in MS Excel, Word, PowerPoint, and standard typing speed.

Benefits:

Competitive salary

Health insurance coverage

Professional development opportunities

Collaborative and supportive work environment