Responsibilities:

• Understand and translate CPT, HCPC, ICD-9/ICD-10 codes for HCC abstraction.
• Review medical records for completeness, accuracy, and compliance with applicable coding guidelines and regulations.
• Identify, compile, and code member/patient data using ICD-9/ICD-10-CM and other standard classification coding systems.
• Support the collection and distribution of documentation and coding improvement tools for designated practice units as applicable.
• Support educational activities for internal stakeholders as necessary as a subject matter expert on coding review/guidelines.
• Actively participate and engage in program improvement discussions and activities.
• 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, P from the American Health Information Management (AHIMA) is required.
• 2 - 5 years of Medical Coding experience is required.
• A minimum of 2 years’ experience in Health Insurance/quality chart audits and/or Utilization Review is required.
• Bachelor's degree is preferred.

Required Skills:

• Proficiency in CPT-4, HCPC, ICD-9/ICD-10 coding.
• Knowledge of medical terminology, medical procedures, abbreviations, and terms.
• Understanding of the health care delivery system.
• Ability to utilize a personal computer and applicable software (e.g., proficiency in Word and Excel).
• Effective verbal and written communication skills and the ability to work well within a team.
• Demonstrate professional and ethical business practices, adherence to company standards, and a commitment to personal and professional development.
• Proven ability to exercise sound judgment and problem-solving skills.
• Proven ability to ask probing questions and obtain thorough and relevant information.

Salary range - 30$/hr. - 37$/hr.