Matrix Medical Network-posted 9 months ago
Remote • Washington, DC
Administrative and Support Services

Matrix Medical Network is a leading clinical services organization that supports the needs of diverse and vulnerable populations, working with millions of individuals across the country to assess and help them manage their health risks through our large network of clinicians. We support Medicare Advantage, Managed Medicaid and Commercial plans; serving populations of all ages, from seniors to other high-risk individuals. Matrix colleagues understand the important role every department plays in helping the members and customers we serve have the best experience possible across all touchpoints. Join our team and help create innovative strategies and solutions to make quality healthcare more accessible! Matrix Medical Network is proud to be a Diversity, Equity, Inclusion and Accountability Employer.

  • Verify and ensure the accuracy, completeness, specificity and appropriateness of diagnosis codes based on services rendered.
  • Review medical record information to identify all appropriate coding based on CMS HCC categories.
  • Complete appropriate paperwork/documentation/system entry regarding claim/encounter information.
  • Support and participate in process and quality improvement initiatives.
  • Enter codes into computer applications supporting different medical plans.
  • Research codes and medical terminology.
  • Abstract ICD10-CM codes from handwritten charts and electronic medical records.
  • Perform other assigned tasks and duties as necessary.
  • Demonstrated knowledge of ICD10-CM and CPT coding guidelines, medical terminology, anatomy and physiology.
  • ICD10-CM proficiency required.
  • Demonstrate analytical and problem-solving ability regarding barriers to receiving and validating accurate HCC information.
  • Knowledge of HCC auditing concepts and principles.
  • Knowledge of legal, regulatory, and policy compliance issues related to medical coding and documentation.
  • Demonstrated effective verbal and written communication skills.
  • Strong knowledge and proficiency with the use of Microsoft Office products (Word, Excel, Outlook, Access) and internet research.
  • High School Diploma or GED equivalency.
  • Certified Medical Coder (CPC, CCA, CCS) with high degree of competence in this area with 2 years experience.
  • Certified through AAPC or AHIMA.
  • Medical
  • Dental
  • Vision
  • Paid time off
  • Paid holidays
  • 401K with company matching
  • Voluntary life insurance
  • Short term disability
  • Long term disability
  • Employee assistance program
  • Health savings account
  • Flexible spending accounts
  • Additional voluntary benefits available
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