Certified Medical Coder

Apex Health Solutions • Houston, TX

4d

About The Position

Certified Medical Coder role is responsible for reviewing, abstracting, and coding inpatient and/or outpatient medical records to ensure proper ICD-10-CM, HCPCS, and CPT coding and compliance with Risk Adjustment requirements.

Requirements

• High School Diploma or GED required
• A certification in one of the following is required : Certified Professional Coder (CPC) Certified Risk Adjustment Coder (CRC) Certified Coding Specialist (CCS) Registered Health Information Technician (RHIT) Registered Health Information Administrator (RHIA)
• Minimum of three (3) years HCC experience performing concurrent and retrospective risk adjustment chart review s required
• Current AAPC or AHIMA credential required
• Risk Adjustment / HCC knowledge required

Nice To Haves

• Managed Care experience preferred

Responsibilities

• Follows CMS Risk Adjustment guidelines and has a complete understanding of their real-world application
• Reviews submitted medical records to identify ICD-10-CM diagnoses, ensuring the documentation meets all CMS standard requirements for valid submission
• Codes all diagnoses and services accurately and completely, from the medical record in accordance with the ICD-10-CM coding classification system
• Selects and accurately records all appropriate records and data on assigned chart abstraction projects
• Ability to meet productivity and accuracy requirements
• Performs other duties as assigned

What This Job Offers

• Job Type: Full-time
• Education Level: High school or GED