Senior Risk Adjustment Coder | ICD-10/CPT Expert

ClareMedica Health Partners, LLC; Miami (FL); Vor Ort; USD 60.000 - 85.000; Vollzeit

Zusammenfassung

Claremedica Health Partners, LLC in Florida seeks an accurate, detail oriented Risk Adjustment Coder to review medical records and encode encounters for Medicare risk adjustment. You will verify charts, ensure coding accuracy and maintain compliance with guidelines.

Responsibilities include coding using ICD-10-CM and CPT, identifying chronic/new conditions for validation, and meeting daily production while collaborating with the Sr. Risk Adjustment Manager and coding team.

Qualifikationen

• CPC certified by AAPC or AHIMA required.
• CRC certification preferred.
• 3+ years of medical coding experience.
• Strong computer skills and data entry.
• Experience with EMR systems and coding guidelines.

Aufgaben

• Review patient charts to verify accuracy and appropriate coding.
• Code office procedures according to ICD-10-CM and CPT.
• Identify chronic or new conditions for provider validation.
• Ensure compliance with federal/state regulations.
• Meet daily coding production and attend departmental meetings.
• Travel occasionally to centers and education seminars.

Kenntnisse

ICD-10-CM

CPT guidelines

Medical terminology

Anatomy & physiology

English grammar

Data entry

Microsoft Office

Ausbildung

CPC – Certified Professional Coder

CRC – Certified Risk Adjustment Coder

High school diploma or equivalent

Bachelor's degree preferred

Tools

EMR software

Microsoft Office Suite

Jobbeschreibung

Claremedica Health Partners, LLC in Florida seeks an accurate, detail oriented Risk Adjustment Coder to review medical records and encode encounters for Medicare risk adjustment. You will verify charts, ensure coding accuracy and maintain compliance with guidelines.

Responsibilities include coding using ICD-10-CM and CPT, identifying chronic/new conditions for validation, and meeting daily production while collaborating with the Sr. Risk Adjustment Manager and coding team.