Medical Coder (Risk Adjustment)- 238512
Posted 2025-03-14Job Description: Medical Coder ? Risk Adjustment CONTRACT!!
We are seeking a detail-oriented and experienced Medical Coder specializing in Risk Adjustment and ICD-10-CM diagnostic coding. The ideal candidate will have a strong background in reviewing medical records, identifying chronic conditions, and coding according to industry guidelines to ensure accurate and compliant documentation.
Responsibilities: ? Review medical records to identify and validate Risk Adjustment conditions and chronic conditions. ? Accurately apply ICD-10-CM diagnostic codes following the latest coding guidelines and standards. ? Search for medical records within an EHR interface and document findings with precision. ? Identify and code social determinants of health (SDOH) in accordance with ICD-10 guidelines. ? Maintain organized and accurate spreadsheets of coding findings, including detailed notes on any unique or complex cases requiring additional review. ? Ensure strict compliance with HIPAA privacy guidelines and maintain the confidentiality of sensitive patient data. ? Stay updated on current ICD-10-CM guidelines, AHA Coding Clinics, and regulations related to Risk Adjustment and HCC coding.
Qualifications: ? Certified Professional Coder (CPC) or Certified Risk Adjustment Coder (CRC) credential from the AAPC. ? 3?4 years of hands-on experience in ICD-10-CM diagnostic coding, with a preference for experience in Risk Adjustment or HCC coding. ? Strong familiarity with EHR systems and tools for medical record review. ? Comprehensive understanding of ICD-10 coding guidelines and the ability to interpret complex medical documentation accurately. ? Excellent attention to detail, organizational skills, and the ability to manage time effectively.
Preferred Experience:
? Direct experience working with Risk Adjustment models and coding for Hierarchical Condition Categories (HCC).
? Background in analyzing social determinants of health (SDOH) for coding purposes.
This role offers an opportunity to contribute significantly to the accuracy and efficiency of medical coding in a dynamic and compliant environment. If you are a coding professional with a passion for excellence, we encourage you to apply!
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