Responsibilities
• Perform code abstraction and/or coding quality audits of medical records to ensure ICD-10-CM
codes are accurately assigned and supported by clinical documentation. Primarily for QHP
(RADV)
• Ability to code government and state models. This includes code everything projects.
• Maintain current knowledge of ICD-10-CM codes, CMS documentation requirements, and state
and federal regulations.
• Ability to maintain a 95% accuracy rate on all coding projects.
• Coders assist with code abstraction and coding quality audits using the Official Coding
Guidelines for ICD-9-CM/ICD-10-CM, AHA Coding Clinic Guidance, and in accordance with all
state regulations, federal regulations, internal policies, and procedures.
Requirements
• Current core coding credentials through AHIMA or AAPC (RHIT, CCS, CCS-P, CPC, CIC, etc.)
The AAPC CRC (Certified Risk Adjustment Coder) coding certification is highly recommended.
• RADV Experience Mandatory
• Strong organizational skills
• Technical savvy with high level of competence in basic computer skills, Microsoft Outlook,
Word, Excel, and Outlook.
• Strong written and verbal communication skills
• Ability to work independently in a remote environment.
• Private lockable office space to ensure security of Member PHI
• Minimum of 7 years coding experience with at least 5 of those years in Risk Adjustment
coding.
• Completion of an accredited medical coding program with current unencumbered credentials.
Required education:
• CPC Certification
Required experience:
• Risk Adjustment coding: 5 years.
• Coding: 7 years
Supervision Received
• General supervision is received weekly
SGS
ScaleJet | eCommerce HR agency
Teladoc Health
Crawford & Company (Canada) Inc.
CBIZ
