Medical Risk Coder

Posted 23 hours ago

This is a fully remote position, open to applicants in Alabama, +21 more states.

📋 Description

• Review and accurately code medical charts.

• Assign the appropriate ICD-10 codes, aligning with risk adjustment models as needed.

• Uphold necessary quality and production standards.

• Achieve a 95% accuracy rate across all projects.

• Stay updated on diagnosis coding guidelines and risk adjustment reimbursement reporting requirements.

• Provide constructive feedback to providers regarding opportunities for performance improvement.

• Monitor and prioritize projects aimed at enhancing coding and documentation outcomes.

• Adhere to HIPAA regulations.

• Undertake other related responsibilities as directed by management.


⛳️ Requirements

• High School Diploma or equivalent is required.

• Certification as a coder (CRC, CPC) from AHIMA or AAPC is MANDATORY.

• CRC (Certified Risk Adjustment Coding) certification is required.

• Completion of a basic coding assessment is necessary.

• Experience in Risk Adjustment is essential.

• Capability to code using an ICD-10-CM codebook without the aid of an encoder.

• Strong clinical knowledge surrounding the diagnosis, treatment, and management of chronic illnesses.

• Comprehensive understanding of ICD-10 diagnosis coding guidelines.

• Access to a computer is required.

• Comfort with using coding books is necessary.

• Proficiency in coding guidelines is expected.

• Familiarity with a Customer Relationship Management (CRM) platform, preferably Salesforce, is advantageous.

• An Associate degree is preferred.


🏝️ Benefits

• Paid orientation and training.

• Insurance options including Medical, Dental, Vision, and Life.

• 401k Plan with a 3% match.

• Employee Assistance Program.

• Tuition reimbursement.

• Support for continued education.

• Mileage reimbursement (if applicable).

• Referral bonuses.

• Paid holidays totaling 9 days.

• Paid time off amounting to 15 days.

• Paid volunteer hours.

• Flexible scheduling options available.

• Opportunity to work remotely.

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