Certified Medical Coder
Summary
Certified Medical Coder role is responsible for reviewing, abstracting, and coding inpatient and/or outpatient medical records to ensure proper ICD-10-CM, HCPCS, and CPT coding and compliance with Risk Adjustment requirements.
Key Responsibilities
Follows CMS Risk Adjustment guidelines and has a complete understanding of their real-world application
Reviews submitted medical records to identify ICD-10-CM diagnoses, ensuring the documentation meets all CMS standard requirements for valid submission
Codes all diagnoses and services accurately and completely, from the medical record in accordance with the ICD-10-CM coding classification system
Selects and accurately records all appropriate records and data on assigned chart abstraction projects
Ability to meet productivity and accuracy requirements
Performs other duties as assigned
Qualifications
High School Diploma or GED required
A certification in one of the following is required :
Certified Professional Coder (CPC)
Certified Risk Adjustment Coder (CRC)
Certified Coding Specialist (CCS)
Registered Health Information Technician (RHIT)
Registered Health Information Administrator (RHIA)
Minimum of three (3) years HCC experience performing concurrent and retrospective risk adjustment chart review s required
Current AAPC or AHIMA credential required
Risk Adjustment / HCC knowledge required
Managed Care experience preferred
Recommended Jobs
DFW Area Residential Service HVAC Technician
(MUST HAVE RESIDENTIAL HVAC EXPERIENCE) Operate, maintain, and repair all equipment used for heating, ventilation, and air conditioning for residence equipment. This individual supports the business …
Senior Commercial Construction Manager
BCC General Contractor, LLC. – Temple, TX, 76502 BCC is a full service commercial general contractor and construction management firm. Our commitment is to serve clients with excellence, integrity,…
Senior Analyst, Fundamentals - Power
Summary The Senior Analyst, Power Fundamentals is responsible for assisting the development and management of North American supply, demand, infrastructure, and price forecasting in support of tra…
Continuous Improvement Assistant Manager - Grand Prairie
At Richemont Americas, we are proud to employ talent from many different backgrounds, experiences, and identities. We believe that when diversity and inclusion are fully embraced and empowered, creat…
Family Medicine Physician - big system, large referral base, top pay
Big Texas non-profit Health System seeks 3 Family Medicine Physicians / Internal Medicine Physicians to work in Longview, Texas! Join 800 Physicians! H1B Come make a difference within a growing …
Ocean Import Specialist (Bilingual English/Korean)
Company Overview Since its inception in 1995, FNS has been focused on providing the best total logistics services by implementing our core values: trust, communication, team play, challenge, and b…
Accounts Payable Specialist
Job Description A well-established manufacturing company is seeking an Accounts Payable Specialist to manage invoice processing, payments, and vendor relations. The ideal candidate is detail-ori…
Director of Operations
Position Description –Director of Operations Reports to CEO Direct Reports/ Exempt - Operational Department/Exempt Work Location -Corporate Office Position Summary and Objectives This p…
PT Brand Ambassador
Position Overview Part-Time Brand Ambassadors have a customer first mindset and are passionate about providing a personalized and inspiring shopping experience that exceeds the cust…
FASHION BUYER Part-Time
Benefits: Flexible schedule Opportunity for advancement Employee discounts Training & development "The most fun job ever!" that's how employees describe being a FASHION BUYER with us!…