Certified Coding Specialist

Job Summary

Certified Coding Specialist, responsible for verifying and ensuring the accuracy of diagnosis codes based on documentation and services rendered, in a full-time role.

Key Responsibilities

• Review health risk assessments to assign ICD-10 codes accurately and completely
• Identify opportunities to query providers for documentation clarification
• Maintain knowledge of coding compliance and reimbursement procedures related to Medicare Risk Adjustment

Required Qualifications

• Active CPC, COC, CCS, CCS-P or CCA coding certification
• Minimum of 1 year of ICD-10 coding experience
• Prior work experience in healthcare related to coding preferred
• Experience with Medicare, ACA Exchange, or Medicaid HCC coding preferred
• Advanced knowledge of medical terminology and anatomy