Medical Coder

This is a fully remote position, open to applicants in Maryland.

📋 Description

• Conduct diagnosis coding for inpatient, outpatient, and physician office medical records in accordance with Risk Adjustment/Medicare Part C standards.

• Execute intake validity checks on each medical record received.

• Confirm acceptable physician specialties, relevant service dates, physician/practitioner signatures, and submitted attestations.

• Document all processing information in the system following contract and organizational protocols.

• Analyze feedback from Senior Coders to enhance accuracy and quality.

• Accurately input data into the encoder, system, and other necessary software.

• Adhere to established processes and procedures.

• Report any unique record or process issues to the Project Lead, Project Manager, or Project Director.

• Ensure the security and confidentiality of medical records and Protected Health Information (PHI).

• Achieve or surpass the productivity and accuracy standards set by the customer/company, with a minimum IRR of 95%.

• Comply with company attendance policies.

• Engage appropriately with peers, coworkers, contractors, and customers when needed.

• Foster a positive team spirit.

• Carry out other assigned duties and projects.

⛳️ Requirements

• At least one (1) year of experience in coding general acute hospital (inpatient and outpatient, non-internship) and/or multi-specialty physician office medical records using ICD-9-CM/ICD-10-CM coding standards.

• Must hold a coding certification from a recognized credentialing body (AAPC, AHIMA).

• Accepted certifications include: CPC, CCS, RHIA, RHIT.

• CRC certification is an advantage.

• Preferred experience in abstracting and ICD-9/ICD-10 coding.

• Preferred experience in Risk Adjustment Data Validation or CMS-HCC audits.

• Experience in conducting medical record coding audits, including complex medical record abstraction.

• Ability to work independently and maintain a high level of focus.

• Must demonstrate consistency, speed, and accuracy in tasks.

• Proficient in reading, analyzing, and interpreting physician documentation.

• Ability to communicate clearly and professionally, both in writing and verbally.

• Must work effectively in a team environment and collaborate with both internal and external team members.

• Proficiency in Microsoft Office Suite is required.

• Ability to plan, prioritize, and manage multiple tasks in a fast-paced setting.

• Must uphold confidentiality and integrity.

🏝️ Benefits

• Additional benefits are included in the overall compensation package.

• Equal Employment Opportunity / Affirmative Action employer.

• HUBZone candidates are encouraged to apply.