Medical Coder/ Risk adjustment coder from Collabera

Responsibilities:

• Compile chart review findings statistics, analyze data results, and implement action plans to improve providers’ performance levels


• Educate new staff to ensure high-quality data abstraction and chart reviews


• Develop quality assurance processes to ensure data integrity of all submitted diagnoses


• Evaluate and improve the effectiveness of risk adjustment coding programs, policies, and procedures


• Collaborate with inter-departmental team management to support coding initiatives related to risk adjustment programs


• Act as a Subject Matter Expert to identify opportunities for business enhancement in risk adjustment coding initiatives


• Keep management informed on current changes in regulations/guidance related to ICD-10 coding and quality documentation


• Interface with operations and clinical leadership to identify coding and documentation improvements


• Conduct mock audits targeting problematic diagnoses as identified by CMS and internal stakeholders


• Review medical records for completeness, accuracy, and compliance with coding guidelines and regulations


• Maintain department productivity and accuracy standards

Education Qualification:

• Current Registered Health Information Technologies (RHIT) or Certified Professional Coder designation from the American Academy of Professional Coders or a Certified Coding Specialist from the American Health Information Management (AHIMA)


• Bachelor's degree required

Required Skills:

• Proficiency in CPT-4, HCPC, ICD-9/ICD-10 coding


• Knowledge of medical terminology, procedures, abbreviations, and terms


• Understanding of the healthcare delivery system


• Ability to utilize a personal computer and software such as Word and Excel