Risk Adjustment Medical Record Coder

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  CRC (Certified Risk Adjustment Coder) certification is a plus. If not currently certified, you must obtain it within one year of hire.

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  Strong expertise in HCC (Hierarchical Condition Category) coding, with experience in MA (Medicare Advantage) and Affordable Care Act (ACA) programs highly preferred.

• Self-motivated and proactive, thriving in a remote work environment

• A true team player, ready to engage in team chats and support colleagues

• A learner, eager to grow and adapt in a constantly evolving industry

• →Maintain compliance with CMS risk adjustment diagnosis coding guidelines.
• →Perform comprehensive 1st pass reviews of medical records and physician assessment forms (HCC coding).
• →Assist with the intake and quality assurance of medical records as necessary.
• →Perform or participate in special projects as directed by management.
• →ICD-10 Coding assessment is required.

Education

• Associates degree or equivalent work experience required.  Equivalent experience is defined as 2 years of professional work experience.

Experience

• 1 year - Progressive medical coding and health care experience required.

Skills\Certifications

• Professional coding certification from AHIMA or AAPC (CPC, CCS, RHIT, RHIA).
• Must acquire the Certified Risk Adjustment Coder (CRC) certificate from AAPC within one year, after completed training.
• Ability to work independently with minimal supervision or function in a team environment sharing responsibility, roles and accountability.
• Proficient in Microsoft Office (Outlook, Word, Excel and PowerPoint).
• Proven analytical and problem-solving skills and ability to perform non-routine analytical tasks.
• Must be a team player, be organized and have the ability to handle multiple projects.
• Excellent oral and written communication skills.
• Strong interpersonal and organizational skills.
• Understanding of ICD-10 coding standards required.

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