Certified Clinical Coder

Job Summary

To support a growing healthcare practice, the remote Certified Clinical Coder will ensure accurate documentation of patient complexity, validate diagnosis codes, and collaborate with clinical teams to uphold coding excellence, all while maintaining compliance and confidentiality.

Key responsibilities

• Apply expert coding judgment using ICD 10 guidelines to validate diagnosis codes in medical records
• Analyze MRA reports and query providers for clarification to strengthen documentation accuracy
• Collaborate across teams to ensure seamless workflows and support timely amendments through ongoing review processes

Required qualifications

• Professional Coder (CPC) Certification
• 3+ years of experience in CMS-HCC risk adjustment or HCC coding
• 3+ years of ICD 10 coding experience
• 1+ year of HEDIS/Stars experience
• Strong knowledge of medical terminology, anatomy, physiology, and disease processes