Jobs

Description

Fully remote role. Temp to Perm potential

100% Remote

Professional Coder I

• Strong knowledge and experience in risk adjustment coding (ICD-9/ICD-10 codes) for HCC abstraction.
• Review medical records for completeness, accuracy and compliance with applicable coding guidelines and regulations based on applicable lines of business
• Identify, compile and code member/patient data, using ICD-9/ICD 10-CM and other standard classification coding systems.
• Support the collection and distribution of documentation and coding improvement tools for designated practice units as applicable, as well as perform quality assurance reviews and analyze medical record findings
• Support educational activities for internal and external stakeholders as necessary as subject matter expert on coding review/guidelines.
• Actively participate & engage in program improvement discussions and activities.
• Maintains department productivity and accuracy standards.

Qualifications:

• Certified Professional Coder designation from the American Academy of Professional Coders (AAPC) or AHIMA
• Requires 2 -5 years of medical coding experience
• Requires a minimum of 2 years’ experience in Health Insurance/Quality chart audits and/or Utilization Review
• Bachelor's degree preferred