Description A National reputable Healthcare Organization is in search of a knowledgeable and dedicated Risk Adjustment Medical Coder to join our dynamic team.
As a Risk Adjustment Medical Coder, you will be responsible for accurately coding healthcare claims to ensure proper reimbursements, proper payments, and facilitates the identification of patients' health conditions to determine appropriate risk scores.
Responsibilities:- 1. Reviewing and analyzing medical records and patient health information. 2. Ensuring accurate coding for all diagnoses, procedures, and level of care. 3. Applying risk adjustment coding guidelines and recognizing deviations from these guidelines. 4. Providing feedback to providers regarding diagnosis coding and documentation gaps. 5. Assisting in audits and compliance activities. 6. Complying with coding standards, ethical guidelines, and legal requirements to manage risk and improve outcomes. 7. Collaborating with billing, physicians, and other healthcare professionals to ensure the accuracy of coded data. Requirements 1. Certified by the American Health Information Management Association, American Academy of detail oriented Coders, or a similar organization. 2. At least 2 years of experience in medical coding, preferably in risk adjustment. 3. Must have a CPC, CCS or CRC 4. Strong understanding of medical terminology, anatomy, and physiology. 5. Excellent written and verbal communication skills. 6. Highly detail-oriented and organized. 7. Proficient in coding software and Microsoft Office Suite.
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