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Coding Specialist

Job Posting
Coding Specialist N7
Job Details
Job Type

Full-time

Greensboro, NC • Revenue Management
Description
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.

Requirements
Minimum Qualifications

Education

High School Diploma or GED

Licensure/Certification

Coding Certification: CPC, RHIT, CCS, or CCS-P

Experience

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

Education

Associates Degree
Lincensure/Certification

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:  Full time
Salary:  Hourly
Category:  Administration

Updated: 12/10/2021 10:40:28 AM

Job Contact:
Michael Abner
3364483122

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7800 McCloud Road
Greensboro, NC 27409

3364483122