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Certified Risk Adjustment Coder
A company is looking for a Risk Adjustment Coder who will utilize their expertise to ensure compliance and optimize financial outcomes in healthcare programs. Key Responsibilities Perform medical record reviews and coding to comply with CMS and HIPAA regulations Conduct quantitative and qualitative analysis of medical records for accuracy and completeness Execute risk adjustment data validations using AHA coding guidelines Required Qualifications Valid Certified Coding Specialist (CCS), Certified Professional Coder (CPC), or similar coding designation with at least one year of coding experience At least 6 months of experience coding ICD-10 CM Proficiency in MS Word, Excel, and PowerPoint, with a willingness to learn new software Experience in Documentation Improvement, Hierarchical Condition Categories (HCC), or Medicare Advantage plans is a plus Strong work ethic and ability to work independently in a remote setting
A company is looking for a Risk Adjustment Coder who will utilize their expertise to ensure compliance and optimize financial outcomes in healthcare programs.
Key Responsibilities
Perform medical record reviews and coding to comply with CMS and HIPAA regulations
Conduct quantitative and qualitative analysis of medical records for accuracy and completeness
Execute risk adjustment data validations using AHA coding guidelines
Required Qualifications
Valid Certified Coding Specialist (CCS), Certified Professional Coder (CPC), or similar coding designation with at least one year of coding experience
At least 6 months of experience coding ICD-10 CM
Proficiency in MS Word, Excel, and PowerPoint, with a willingness to learn new software
Experience in Documentation Improvement, Hierarchical Condition Categories (HCC), or Medicare Advantage plans is a plus
Strong work ethic and ability to work independently in a remote setting