Job Summary
A company is looking for a Risk Adjustment Coder.
Key Responsibilities
- Perform medical record reviews and apply coding principles to ensure compliance with CMS and HIPAA regulations
- Conduct quantitative and qualitative analysis of medical records for accuracy and completeness
- Perform risk adjustment data validations using AHA coding guidelines
Required Qualifications
- Valid Certified Coding Specialist (CCS), Certified Professional Coder (CPC), Certified Professional Coder Apprentice (CPC-A), or CCA designation with at least one year of coding experience
- At least 6 months of experience coding ICD-10 CM
- Experience with MS Word, Excel, and PowerPoint, with the ability to learn new software
- Documentation Improvement experience and knowledge of Medicare Advantage plans are a plus
- Strong work ethic and integrity, with the ability to work independently in a remote setting
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