Certified Medical Coder I

Job is Expired
Location: Nationwide
Compensation: To Be Discussed
Staff Reviewed: Mon, Aug 28, 2023

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

COMPLETE JOB DESCRIPTION

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