South Carolina Licensed Medicare Coder

Job Summary

A company is looking for a Medicare Risk Adjustment Coder.

Key Responsibilities

• Coordinate HEDIS and Star measure data collection using various resources
• Conduct data entry and review of Star measure data per NCQA and CMS specifications
• Analyze Stars data to identify improvement opportunities and support program initiatives

Required Qualifications

• Bachelor's degree in a job-related field or equivalent work experience
• Professional certification in nursing, pharmacy, medical assistant, or related healthcare training
• Minimum of 2 years of experience in managed care, quality improvement, or clinical settings
• Experience working with HEDIS standards and Medicare Advantage
• Familiarity with clinical terminology and electronic medical records