Full-Time Risk Adjustment Medical Coder

Required Certifications

• Must hold: Certified Professional Coder (CPC)
• In addition to CPC, must also hold, or acquire within one year of hire: Certified Risk Adjustment Coder (CRC)

Required Experience: 3/+ years’ experience in health industry (healthcare and/or health insurance) to include medical record coding, preferably with HCC and/or Risk Adjustment coding experience.

Preferred Qualifications:

• Certified Risk Adjustment Coder (CRC), at time of application
• Associate or Bachelor Degree
• ICD-9-CM/ICD-20-CM and HCPS code sets

Additionally helpful:

Knowledge of:

• Billing/Claims submission
• HIPAA guidelines
• Medical terminology and abbreviations, anatomy, physiology, pathological process of diseases and basic pharmacological concepts
• Electronic Medical Record (EMR) applications and contents
• Standards of ethical coding as set forth by the American Academy of Professional Coders (AAPC)

Skills:

• Creative, critical, interpersonal, and analytical thinking skills with a strong attention to detail
• Strong verbal and written communication, including presentation preparation/development
• Team Player: communicate effectively and professionally with all levels of professionals both within the organization and with external organizations; can work with and support cross-functional teams in a fast-paced environment
• Microsoft Office (Word, Excel, PowerPoint)
• Proficient coding (ICD, CPT, and HCPCS) both professional and institutional, with proven track record of coding accuracy
• Learns quickly and stays on-task through completion of assigned duties. Task and results oriented; self-motivated to request or tackle additional work. Follows verbal instructions and written policies and procedures