Certified Medical Coder

Page Mechanical Group, Inc.; Houston (TX); On-site; USD 50,000 - 70,000; Full time

Job summary

A healthcare company in Houston is seeking a Certified Medical Coder to review and code inpatient and outpatient medical records. You will ensure compliance with ICD-10-CM and HCPCS guidelines while meeting productivity standards. Candidates need a high school diploma, relevant certifications, and at least three years of experience in risk adjustment. AAPC or AHIMA credential is required. The role also values attention to detail and knowledge in managed care.

Qualifications

• Requires a minimum of three years HCC experience with chart reviews.
• Current AAPC or AHIMA credential is necessary.
• Managed Care experience preferred.

Responsibilities

• Review and code inpatient/outpatient medical records.
• Ensure documentation meets CMS standard requirements.
• Meet productivity and accuracy requirements.

Skills

ICD-10-CM coding

Risk Adjustment knowledge

Attention to detail

Education

High School Diploma or GED

Relevant certification (CPC, CRC, CCS, RHIT, RHIA)

Job description

Summary

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.

Key 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.

Qualifications

• 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 reviews required.
• Current AAPC or AHIMA credential required.
• Risk Adjustment / HCC knowledge required.
• Managed Care experience preferred.