What are the responsibilities and job description for the HCC Coder (Primary Care) position at Optima Medical?
About Optima:
Optima Medical is an Arizona-based medical group consisting of 23 locations and 90 medical providers, who care for more than 120,000 patients statewide. Our mission is to improve the quality of life throughout Arizona by helping communities “Live Better, Live Longer” through personalized healthcare, with a focus on preventing the nation’s top leading causes of death. We go beyond primary care with a full spectrum of services including cardiovascular health services, behavioral health, allergy testing and immunotherapy, in-house lab testing, imaging, chronic disease management and other specialty health services. We aspire to aid the growth of our company by welcoming the most qualified and deserving candidates aboard.
Optima is currently seeking a HCC Risk Coder Specialist to join our team. As the Risk Adjustment Coder you will perform medical record diagnosis code abstraction based upon clinical documentation, ICD-10-CM official guidelines for coding and reporting, CMS program guidance and in accordance with all state regulations, federal regulations, internal polices, and internal procedures.
HCCC/Risk Coder Job Responsibilities:
- Perform code abstraction of medical records, diagnostic imaging, etc. to ensure ICD-10-CM codes are accurately assigned and supported by clinical documentation
- Identify diagnosis and chart level impairments and documentation improvement opportunities for provider education
- Assist by making recommendations for process improvements to further enhance coding goals and outcomes
- Maintain current knowledge of ICD-10-CM codes, CMS documentation requirements, and state and federal regulations
- Meet minimum productivity requirements as outlined by the project terms
- Handle other related duties as required or assigned
HCC/Risk Coder Job Qualifications:
- Minimum 1 year of coding experience in Risk Adjustment
- Ability to consistently maintain a high level of accuracy working in a fast-paced production environment
- High school diploma or equivalent
- Must live in Arizona
- High level of competency in Microsoft Outlook, Word, and Excel
- Strong written and verbal communication skills
- Works independently under regular supervision
- Must have a coding certification through AAPC or AHIMA (CPC, CRC, etc.), NO CPC-A or CCA
Why join our team?
- Substantial growth opportunities
- Leadership and mentoring
- Fun work environment (happy hours, lunches, events, holiday parties)
- Benefits (medical/vision/dental/401k/paid holidays)
- Supportive and positive work environment
