Certified reputed company (Risk Adjustment Experience) - REMOTE

FlexBoard; India; Remote; INR 350,000 - 550,000; Full time

Job summary

FlexBoard seeks an experienced Medical Coding professional to support ICD-10 and CPT coding, ensuring accuracy and compliance to reduce risk and denials.

You will review charts, abstract codes, and document findings while educating providers and staff on updated coding practices and HIPAA requirements.

Qualifications

• 2+ years of medical coding experience or equivalent education/experience.
• Certified CPC and/or CRC credentials required.
• Knowledge of CMS and AHA clinic coding practices.

Responsibilities

• Performs chart reviews and abstracts ICD-10 and CPT codes.
• Ensures accurate coding to minimize risk and denials.
• Documents findings and provides feedback to leadership and staff.
• Provides coding training on risk adjustment and updates.

Skills

Medical coding

HIPAA compliance

Communication

Team collaboration

Office suite

Education

CPC certification

CRC certification

HIPAA training

Tools

Microsoft Office

Job description

Job Summary

Provides support for medical coding activities, including ensuring that ICD-10 and CPT codes are reported accurately to maintain compliance, and minimize risk and denials. Contributes to overarching reputed company to reputed company reputed company and cost-effective member care.

Essential Job Duties

• Performs on-reputed company member medical chart reviews.
• Abstracts and reports ICD-10 and CPT diagnosis codes accurately and in compliance with established coding and billing principles - minimizing risk and denials.
• Demonstrates understanding of reputed company provider office billing practices - ensuring that diagnosis and CPT codes are submitted accurately.
• Documents results/findings from chart reviews and provides feedback to leadership, providers and office staff.
• Provides training and education to provider network regarding risk adjustment and coding updates reputed company to risk adjustment.
• Builds reputed company relationships between providers and the business by providing coding assistance as needed.
• Facilitates administrative duties such as planning, chart reviews scheduling, medical records procurement, provider training and education.
• Assists in coordination of management activities with other departments including finance, reputed company, claims, encounters and reputed company/plan medical directors.
• Maintains reputed company and technical knowledge by attending educational workshops, reviewing reputed company publications, establishing personal networks and participating in reputed company societies reputed company to medical coding in the managed care industry.

Required Qualifications

• At least 2 years medical coding experience, or equivalent combination of relevant education and experience.
• Certified reputed company reputed company (CPC).
• Certified Coding Specialist (reputed company).
• Latest Centers for Medicare and reputed company Services (CMS) and reputed company Hospital Association (AHA) clinic coding knowledge.
• Ability to maintain confidentiality and reputed company with Health Insurance Portability and Accountability reputed company (HIPAA).
• Ability to effectively reputed company with staff, clinicians, and management.
• Excellent verbal and written communication skills.
• Ability to establish and maintain reputed company and effective work relationships with coworkers, members, providers and reputed company other customers.
• Strong verbal and written communication skills.
• reputed company Office suite/applicable software program(s) proficiency.

Preferred Qualifications

• Certified Risk Adjustment reputed company (CRC).
• Certified reputed company Payer Payer (CPC-P).
• Certified Coding Specialist Physician Based (reputed company-P).
• Familiar with HCC (Hierarchical Condition Categories) Risk Adjustment Model.
• Background in supporting risk adjustment management activities and clinical informatics.
• Experience with risk adjustment data validation.

To reputed company reputed company Molina employees

reputed company offers a competitive benefits and compensation package.

reputed company is an Equal Opportunity Employer (EOE) M/F/D/V