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Risk Adjustment Coding Specialist-Temporary

Risk Adjustment Coding Specialist-Temporary Position
• Greensboro, NC
Job Summary
The Risk Adjustment Coding Specialist is responsible for the review of medical records to ensure the compliant submission of ICD-10 diagnosis codes for chart submissions and external
Major Work Activities
• Coder will abstract diagnostic data and report ICD-10 codes and other information from electronic and handwritten medical records in accordance with established CMS and plan guidelines.
• Coder will assist with any second-level audits to ensure quality and oversight with the vendor's coding performance.
• Coder will assist the team with Risk Adjustment Data Validation (RADV) audit preparation and CMS RADV audits.
• Coder will assist with any records retrieval required for vendor activities or other regulatory audits.
• Other duties as assigned.
Minimum Qualifications
High School Diploma or GED
Coding Certification: CPC, RHIT, CCS, or CCS-P
1+ year(s) of HCC coding experience
Knowledge, Skills, and Abilities
• Medicare Risk Adjustment (HCC) coder with strong knowledge of ICD-10-CM diagnostic coding.
• Strong knowledge of base medical terminology. medical abbreviations, pharmacology. and disease processes.
• Familiarity with common EMR applications and proficient in Microsoft Office (Word, Powerpoint, Excel, Outlook).
• Excellent verbal and written communication skills.
• Team-player with self-motivation, problem-solving, and attention to detail.
• Ability to meet productivity and accuracy standards.
• Ability to defend coding decisions for both internal and external audits.
Preferred Qualifications
• Associates Degree
• CRC along with one of the required certificates
Knowledge, Skills, and Abilities
• Understands the impact of ICD-10 codes on the CMS HCC risk adjustment model.
• Knowledge of RAPS/EDS data types and other Risk Adjustment audits
• Demonstrated ability to gather and analyze data to identify trends.

Time:  Temporary
Salary:  Hourly
Category:  Administration

Updated: 8/24/2020 8:10:26 AM

Job Contact:
Michael Abner

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7800 McCloud Road
Greensboro, NC 27409