Senior Risk Adjustment Coder — HCC/ICD-10-CM Expert

Millennium Physician Group

Indiana (PA)

On-site

USD 32,000 - 47,000

Full time

2 days ago
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Job summary

Millennium Physician Group is seeking a Risk Adjustment Coding Specialist II to translate patient encounters into ICD-10-CM codes for claims processing. The role emphasizes accuracy, compliance with ICD-10-CM guidelines, and collaboration within the MRA Department for concurrent outpatient coding.

The candidate will abstract and assign codes supported by documentation, identify missing information, and communicate with providers when documentation is unclear or incomplete.

Qualifications

  • High school diploma or GED required.
  • 2+ years in payer or healthcare field.
  • 3+ years of HCC coding experience preferred.
  • CPC, CRC, CDEO or equivalent credential preferred.
  • Proficient in 10-key, Word and Excel.
  • Maintain active professional certification and industry compliance.

Responsibilities

  • Abstract/validate ICD-10-CM diagnoses to the highest level of specificity.
  • Review provider actions to identify opportunities and risks.
  • Provide status updates to department leadership.
  • Collaborate with MRA Department members.
  • Maintain certifications and comply with coding guidelines.
  • Communicate trends in provider coding and documentation to stakeholders.
  • Document and track queries to providers in the database.
  • Demonstrate attention to detail and accuracy in coding.

Skills

HCC Coding
Attention to detail
HIPAA compliance
Communication
10-key

Education

High school Diploma or GED
CPC certification
CRC designation preferred
CDEO / AHIMA or AAPC credential

Tools

Word
Excel
10-key

Job description

Millennium Physician Group is seeking a Risk Adjustment Coding Specialist II to translate patient encounters into ICD-10-CM codes for claims processing. The role emphasizes accuracy, compliance with ICD-10-CM guidelines, and collaboration within the MRA Department for concurrent outpatient coding.

The candidate will abstract and assign codes supported by documentation, identify missing information, and communicate with providers when documentation is unclear or incomplete.

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