Medical Coder II

CLAREMEDICA HEALTH PARTNERS LLC•Miami, FL

8d•Onsite

About The Position

Claremedica is seeking an accurate, detail-oriented Risk Adjustment Coder to review medical records and identify, collect, assess, monitor, and document claims and encounter coding information in accordance with risk adjustment models. The role also reviews and accurately codes office procedures, checks charts for coding accuracy and completeness, and analyzes records for appropriate coding compliance. The position works with other personnel to support department and interdepartmental objectives and meet daily coding production. It has no supervisory responsibilities.

Requirements

CPC certification from AAPC or AHIMA, plus any other coding certification.
High school degree or equivalent.
More than three years of medical coding experience, preferably.
Understanding of medical terminology, anatomy, and physiology.
Strong computer skills in data entry and coding, including knowledge of Electronic Medical Record software and Microsoft Office Suite.
Accurate and precise attention to detail.
Ability to multitask, prioritize, and manage time efficiently.
Excellent verbal and written communication skills.
Goal-oriented, organized team player.
Knowledge of ICD-10-CM and CPT guidelines, medical terminology, anatomy and physiology, state and federal Medicare reimbursement guidelines, and English grammar and usage.

Nice To Haves

Bachelor’s degree in a related field.
CRC (Certified Risk Adjustment Coder) certification.

Responsibilities

Review patient charts to verify accuracy, completeness, specificity, and appropriate coding.
Review medical records and related documentation—including medical histories, physical exams, physician orders, progress notes, consultation and diagnostic reports, operative and pathology reports, and discharge summaries—to identify chronic or new conditions for provider validation.
Perform ongoing analysis of medical charts for appropriate coding compliance.
Ensure compliance with applicable federal, state, and county laws and regulations concerning coding and documentation guidelines.
Meet daily coding production requirements.
Cooperate with other personnel to achieve department and interdepartmental objectives and maintain good employee relations.
Attend departmental meetings as required.
Perform additional duties assigned by the Senior Risk Adjustment Manager or Coder Lead.
Maintain coding certification and attend required in-service training.