Certified Coder (Risk Adjustment) - REMOTE

Job description

JOB DESCRIPTION Job SummaryProvides support for medical coding activities, including ensuring that ICD-10 and CPT codes are reported accurately to maintain compliance, and minimize risk and denials. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties: Required Qualifications• At least 2 years medical coding experience, or equivalent combination of relevant education and experience. - Performs on-going member medical chart reviews. Abstracts and reports ICD-10 and CPT diagnosis codes accurately and in compliance with established coding and billing principles - minimizing risk and denials. - Demonstrates understanding of current provider office billing practices - ensuring that diagnosis and CPT codes are submitted accurately. - Documents results/findings from chart reviews and provides feedback to leadership, providers and office staff. - Provides training and education to provider network regarding risk adjustment and coding updates related to risk adjustment. - Builds positive relationships between providers and the business by providing coding assistance as needed. - Facilitates administrative duties such as planning, chart...