Coding Support Specialist - Summit Medical Group

Summit Medical Group; Knoxville (TN); On-site; USD 52,000 - 76,000; Full time

Job summary

Summit Medical Group is seeking a Risk Adjustment Coding Support Specialist to perform comprehensive documentation reviews of outpatient Progress Notes for accurate ICD-10 coding. This full-time, onsite role is in the Knoxville, TN area to support disease burden accuracy.

Candidates should have ICD coding experience and AHIMA/AAPC credentials with certification maintained. Education emphasizes an Associates degree with coursework in ICD-9/10, CPT, anatomy, physiology, and medical terminology.

Qualifications

• Experience with CMS Medicare Advantage Risk Adjustment Data Validation and HCC coding.
• ICD-10 diagnosis coding experience in chart/progress note review.
• Risk adjustment, clinical documentation review for accuracy of diagnosis code assignment from a single code to several codes.
• AHIMA/AAPC Certification preferred; CRC acceptable; maintain certification with CE requirements.

Skills

RADV experience

ICD-10 coding experience

Chart review proficiency

Proficient computer skills

Education

Associates degree; preferred bachelors with ICD-9-CM, ICD-10-CM, CPT coding coursework

Job description

Summit Medical Group is seeking Risk Adjustment Coding Support Specialist to perform a comprehensive documentation review of the outpatient Progress Notes for assigning the appropriate ICD-10 diagnosis codes for accuracy of disease burden. This is a full time opportunity in the KNOXVILLE, TN area due to onsite requirements.

Education

Associates degree, bachelors preferred with completion of college/accreditation level coursework in ICD-9-CM, ICD-10-CM and CPT coding, anatomy and physiology, and medical terminology.

Experience

• Experience with CMS Medicare Advantage Risk Adjustment Data Validation and HCC coding desired
• ICD-10 diagnosis coding experience in chart/progress note review.
• Risk adjustment, clinical documentation review for accuracy of diagnosis code assignment from a single code to several codes
• Health plan Risk Adjustment processes and system experience for CMS RADV and risk score assignment and acceptance are helpful.
• Must have proficient computer skills.

Certification/License

• Must hold a current credential for one of the following: RHIA, RHIT CCS, CCS-P, CPC, CPC-H, and/or CRC. If not CRC certified, you must attain the certification within the first year of your employment date.
• AHIMA/AAPC Certified Professional: Certification must be maintained by fulfilling the continuing education requirements and submitting current proof.

Equal Opportunity Employer

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