RISK ADJUSTMENT CODER
KEY DUTIES AND RESPONSIBILITIES:
Review medical records to ensure accurate diagnoses codes are captured, provide feedback, and make corrections as needed
Review and assess the accuracy, completeness, specificity, and appropriateness of the diagnosis codes based on documentation
Maintain a comprehensive tracking and management tool for assigned medical record reviews.
Meet and maintain production and accuracy metrics, as defined
Review medical record information to identify all appropriate coding based on CMS HCC categories
Report finding resulting from chart review
When necessary, assist with training on appropriate coding of medical charts and documentation as required
Follow HIPAA compliance protocol
Other projects and duties as assigned
EDUCATION AND EXPERIENCE:
Active certified coder certification (CRC, CPC, CCS - P) through AHIMA or AAPC (CCA, CPC-A not accepted)
At least two (2) years of experience as a certified coder in risk adjustment coding with emphasis on the managed care industry
Experience in working with various electronic medical records
ESSENTIAL SKILLS AND ABILITIES:
Knowledge of HCC coding models
Ability to code using an ICD-10-CM code book (without using an encoder)
Knowledge of HIPAA, recognizing a commitment to privacy, security, and confidentiality of all medical chart documentation
Strong clinical knowledge related to chronic illness diagnosis, treatment, and management
High-speed Internet access
Extensive knowledge of ICD-10-CM outpatient diagnosis coding guidelines (knowledge and demonstrated understanding of Risk Adjustment coding and data validation requirements is highly preferred)
Reliability and a commitment to meeting tight deadlines (24-to-48-hour turnaround time on most charts)
Personal discipline to work remotely without direct supervision
Analytical skills
Thrives in an unstructured, start-up environment.
Self-starter that can work independently and collaboratively, prioritize tasks, and has initiative and excitement to take on unfamiliar tasks.
Advanced knowledge of word processing, graphic presentation, and computer software related to specific tasks
Demonstrated excellent computer and word processing skills with special emphasis on calendaring, presentation, and spreadsheet capabilities
Working knowledge of company policies, procedures, and operations
Excellent composition, grammar, and business language skills
Excellent communication and interpersonal skills with the ability to effectively communicate with all levels of management, patients, and family members.
Creative, flexible, well-organized, resourceful, and detail-oriented
Excellent judgment in handling confidential and sensitive information
Ability to work independently, set priorities and handle multiple tasks with a high level of efficiency
Establishing and maintaining cooperative working relationships with others
Ability to work across locations and time zones
CORE COMPETENCIES:
Knowledge of HCC coding models
Instills trust
Customer focus
Manages ambiguity
Collaborates
Drives results
KEY DUTIES AND RESPONSIBILITIES:
Review medical records to ensure accurate diagnoses codes are captured, provide feedback, and make corrections as needed
Review and assess the accuracy, completeness, specificity, and appropriateness of the diagnosis codes based on documentation
Maintain a comprehensive tracking and management tool for assigned medical record reviews.
Meet and maintain production and accuracy metrics, as defined
Review medical record information to identify all appropriate coding based on CMS HCC categories
Report finding resulting from chart review
When necessary, assist with training on appropriate coding of medical charts and documentation as required
Follow HIPAA compliance protocol
Other projects and duties as assigned
EDUCATION AND EXPERIENCE:
Active certified coder certification (CRC, CPC, CCS - P) through AHIMA or AAPC (CCA, CPC-A not accepted)
At least two (2) years of experience as a certified coder in risk adjustment coding with emphasis on the managed care industry
Experience in working with various electronic medical records
ESSENTIAL SKILLS AND ABILITIES:
Knowledge of HCC coding models
Ability to code using an ICD-10-CM code book (without using an encoder)
Knowledge of HIPAA, recognizing a commitment to privacy, security, and confidentiality of all medical chart documentation
Strong clinical knowledge related to chronic illness diagnosis, treatment, and management
High-speed Internet access
Extensive knowledge of ICD-10-CM outpatient diagnosis coding guidelines (knowledge and demonstrated understanding of Risk Adjustment coding and data validation requirements is highly preferred)
Reliability and a commitment to meeting tight deadlines (24-to-48-hour turnaround time on most charts)
Personal discipline to work remotely without direct supervision
Analytical skills
Thrives in an unstructured, start-up environment.
Self-starter that can work independently and collaboratively, prioritize tasks, and has initiative and excitement to take on unfamiliar tasks.
Advanced knowledge of word processing, graphic presentation, and computer software related to specific tasks
Demonstrated excellent computer and word processing skills with special emphasis on calendaring, presentation, and spreadsheet capabilities
Working knowledge of company policies, procedures, and operations
Excellent composition, grammar, and business language skills
Excellent communication and interpersonal skills with the ability to effectively communicate with all levels of management, patients, and family members.
Creative, flexible, well-organized, resourceful, and detail-oriented
Excellent judgment in handling confidential and sensitive information
Ability to work independently, set priorities and handle multiple tasks with a high level of efficiency
Establishing and maintaining cooperative working relationships with others
Ability to work across locations and time zones
CORE COMPETENCIES:
Knowledge of HCC coding models
Instills trust
Customer focus
Manages ambiguity
Collaborates
Drives results
Submit profile
Ameridea
About the company
Position Risk adjustment coder recruited by the company Ameridea at Cebu, Cebu, Joboko automatically collects the salary of , finds more jobs on Risk Adjustment Coder or Ameridea company in the links above