Professional Coder I

Axelon Services; Remote; USD 60,000 - 75,000; Full time

Job summary

A healthcare services firm is seeking a fully remote Professional Coder I. The role involves reviewing and coding medical records for accuracy in compliance with ICD-9/ICD-10 guidelines. Applicants should have a Certified Professional Coder designation and 2-5 years of medical coding experience. Strong communication skills and a commitment to ethical practices are essential. The firm values professional development and offers a supportive working environment.

Qualifications

• 2-5 years of Medical Coding experience required.
• Minimum of 2 years’ experience in Health Insurance/quality chart audits.
• Knowledge of medical terminology and healthcare delivery system.

Responsibilities

• Review medical records for completeness and accuracy.
• Compile and code member/patient data using ICD-9/ICD-10.
• Support educational activities regarding coding guidelines.

Skills

Proficiency in CPT-4 coding

Effective communication skills

Problem-solving skills

Education

Bachelor’s degree preferred

Current RHIT or Certified Professional Coder

Tools

Microsoft Word

Microsoft Excel

Job description

Job Title: Professional Coder I
Position: Fully RemoteNote: Potential temp-perm so must be local to client locationDescription Summary:

• Accountable for accurately reviewing, interpreting, auditing, coding, and analyzing medical record documentation for diagnosis accuracy, correct documentation, and Hierarchical Coding Condition (HCC) abstraction.
• Review may include inpatient, outpatient treatment and/or professional medical services, according to ICD-9/ICD-10 CM coding guidelines and risk adjustment model regulations.
• Supports Annual Commercial (ACA) and Medicare Advantage Risk Adjustment Data Validation Audits (RADV) along with the annual Risk Adjustment life cycle for the Medicare, Medicaid, and Commercial lines of business.

Responsibilities

• Understand and translate CPT, HCPC, ICD-9/ICD-10 codes for HCC abstraction.
• Review medical records for completeness, accuracy, and compliance with applicable coding guidelines and regulations.
• Identify, compile, and code member/patient data using ICD-9/ICD-10-CM and other standard classification coding systems.
• Support the collection and distribution of documentation and coding improvement tools for designated practice units as applicable.
• Support educational activities for internal stakeholders as necessary as subject matter expert on coding review/guidelines.
• Actively participate & engage in program improvement discussions and activities.
• Maintain department productivity and accuracy standards.

Qualifications

• Current Registered Health Information Technologies (RHIT) or Certified Professional Coder designation from the American Academy of Professional Coders or a Certified Coding Specialist, P from the American Health Information Management (AHIMA).
• 2 – 5 years of Medical Coding experience.
• Minimum of 2 years’ experience in Health Insurance/quality chart audits and/or Utilization Review.
• Bachelor’s degree preferred.

Knowledge

• Proficiency in the CPT-4, HCPC, ICD-9/ICD-10 coding.
• Knowledge of medical terminology, medical procedures, abbreviations, and terms.
• Knowledge of the healthcare delivery system.

Skills and Abilities

• Ability to utilize a personal computer and applicable software (e.g., proficiency in Word and Excel).
• Effective verbal and written communication skills and the ability to work well within a team.
• Demonstrate professional and ethical business practices, adherence to company standards, and a commitment to personal and professional development.
• Proven ability to exercise sound judgment and problem-solving skills.
• Proven ability to ask probing questions and obtain thorough and relevant information.

Axelon Services