Demo

Coder

Talent Groups
Boston, MA Full Time
POSTED ON 1/12/2025
AVAILABLE BEFORE 2/7/2025
Duration: 3 months to start

Responsibilities

Job Description

  • Perform code abstraction and/or coding quality audits of medical records to ensure ICD-10-CM codes are accurately assigned and supported by clinical documentation. Primarily for QHP (RADV)
  • Ability to code government and state models. This includes code everything projects.
  • Maintain current knowledge of ICD-10-CM codes, CMS documentation requirements, and state and federal regulations.
  • Ability to maintain a 95% accuracy rate on all coding projects.
  • Coders assist with code abstraction and coding quality audits using the Official Coding
  • Guidelines for ICD-9-CM/ICD-10-CM, AHA Coding Clinic Guidance, and in accordance with all state regulations, federal regulations, internal policies, and procedures.

Requirements

  • Current core coding credentials through AHIMA or AAPC (RHIT, CCS, CCS-P, CPC, CIC, etc.)
  • The AAPC CRC (Certified Risk Adjustment Coder) coding certification is highly recommended.
  • RADV Experience Mandatory
  • Strong organizational skills
  • Technical savvy with high level of competence in basic computer skills, Microsoft Outlook,
  • Word, Excel, and Outlook.
  • Strong written and verbal communication skills
  • Ability to work independently in a remote environment.
  • Private lockable office space to ensure security of Member PHI
  • Minimum of 7 years coding experience with at least 5 of those years in Risk Adjustment coding.
  • Completion of an accredited medical coding program with current unencumbered credentials.

Required education:

  • CPC Certification

Required experience:

  • Risk Adjustment coding: 5 years.
  • Coding: 7 years

Supervision Received

  • General supervision is received weekly

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