Massachusetts Licensed Medical Coder

Job Summary

A company is looking for a Medical Coder, Risk Adjustment Programs.

Key Responsibilities:

• Perform code abstraction and coding quality audits of medical records to ensure accurate ICD-10-CM code assignment
• Document coding reviews that may lead to changes in diagnoses based on clinical documentation
• Maintain knowledge of ICD-10-CM codes, CMS documentation requirements, and relevant regulations

Required Qualifications:

• Completion of an accredited medical coding program with current certification
• CPC certification is mandatory; CRC certification is a plus
• Minimum of 5 years coding experience, including 3 years in Risk Adjustment coding
• Experience with Massachusetts's Medicaid DxCG risk model is preferred
• Pre-employment background and certification checks are required