New York Licensed 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 coding
• Review medical records for compliance with CMS requirements and identify documentation improvement opportunities
• Support the Medicare Risk Adjustment team in educating providers and maintain coding quality audits

Required Qualifications 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 and state and federal regulations
• Must reside in New York, New Jersey, or Connecticut