CPC Certified Coding Specialist

Job Summary

To enhance healthcare documentation and coding accuracy, the full-time Risk Adjustment Coding Accuracy Specialist will review medical records, support retrospective chart reviews, and collaborate with providers and clinical staff, working remotely.

Key responsibilities:

• Reviews medical records for accurate documentation and coding during pre-visit planning and post-visit programs
• Identifies chronic conditions for provider review and queries providers for complete documentation after patient visits
• Partners with clinical and administrative staff to achieve Risk Adjustment strategic goals and initiatives

Required qualifications:

• Bachelor's degree or equivalent
• 3+ years of ICD-10 outpatient coding and provider query experience
• Coding certification as CPC
• Strong knowledge of ICD-10-CM Coding Guidelines and CMS-HCC risk adjustment model
• Demonstrated ability to work cross-functionally within corporate matrix environments