Certified Medical Coder I

Job Summary

A company is looking for a Certified Medical Coder I in the United States.

Key Responsibilities:

• Ensure compliance with coding and documentation guidelines for Commercial and Medicare Risk Adjustment Payment System
• Perform remote medical record review to capture relevant diagnosis codes for HCC conditions
• Focus on retrospective coding to close HCC gaps and add HCC codes not reported

Required Qualifications:

• High School degree or equivalent required, Bachelor's degree in a related field preferred
• Successful completion of a coding license or certificates such as CPC, CRC, CPMA, or CCS-P
• One year of HCC coding experience and understanding of CMS HCC Risk Adjustment coding and data validation requirements
• Excellent organization and problem-solving skills
• Advanced understanding of medical terminology, pharmacology, body systems/anatomy, physiology, and concepts of disease processes