New York Certified Risk Adjustment Coder

Job Summary

A company is looking for a Risk Adjustment Coder.

Key Responsibilities

• Perform code abstraction of medical records, ensuring accurate assignment of ICD-9-CM, ICD-10-CM, CPT, and HCPCS codes
• Review medical records to validate documentation meets CMS requirements and identify improvement opportunities
• Maintain current knowledge of coding standards and support the Medicare Risk Adjustment team in provider education

Required Qualifications, Training, and Education

• Must possess certifications such as CPC, CRC, RHIT, or RHIA from AAPC or AHIMA
• At least three recent years of experience in HCC/Risk Adjustment and/or inpatient coding
• Strong knowledge of clinical terminology, disease processes, anatomy, physiology, and pharmacology
• Familiarity with claims processing procedures, state and federal regulations, and Medicare Coordination of Benefits applications
• Must reside in New York, New Jersey, or Connecticut