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2 days ago
We are seeking experienced professionals to join our team as Risk Adjustment Coding Specialists. The ideal candidate will have strong analytical skills and a deep understanding of risk adjustment models, including HCC, RxHCC, and CDPS.
The successful applicant will be responsible for reviewing medical records to assign accurate ICD-10-CM codes, ensuring compliance with official coding guidelines, CMS regulations, and internal policies.
Key responsibilities include:
- Analyzing medical records to assign accurate ICD-10-CM codes according to risk adjustment guidelines.
- Ensuring all documented diagnoses are supported by proper clinical documentation.
- Identifying and capturing chronic conditions that impact risk scores.
- Maintaining a high level of coding accuracy to meet organizational quality standards.
Required qualifications include:
- A degree in nursing or a related field.
- CPC, CRC (Certified Risk Adjustment Coder), or equivalent coding certification is required.
- Strong knowledge of ICD-10-CM coding, HCC risk adjustment models, and medical terminology.
- Excellent analytical and problem-solving skills.
This is an entry-level position offering full-time employment and opportunities for professional growth and development.
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