Senior Risk Adjustment Coder - ICD-10/HCC Expert

Millennium Physician Group

Bloomington (IN)

On-site

USD 32,000 - 48,000

Full time

7 days ago
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Job summary

Millennium Physician Group in Indiana is seeking a Risk Adjustment Coding Specialist II to review patient records after visits and translate documentation into provider-selected ICD-10-CM codes for claims processing.

You will collaborate with the MRA Department to validate codes to the highest specificity, identify missing information, and maintain professional certifications while ensuring HIPAA compliance and timely submissions.

Qualifications

  • High school diploma or GED required.
  • 2+ years in payer or healthcare-related field.
  • 3+ years of HCC coding experience preferred.
  • CPC or CRC/CDEO credentials preferred.
  • Proficiency in 10-key, Word, and Excel.
  • Knowledge of ICD-10-CM guidelines and coding accuracy.
  • Understanding of HIPAA and confidentiality policies.
  • Strong attention to detail and accuracy (≥95%).
  • Ability to work in a fast-paced, team environment.

Responsibilities

  • Abstract and validate ICD-10-CM codes to highest specificity for encounters.
  • Review provider actions to identify opportunities and outliers.
  • Maintain and document queries to providers in the tracking system.
  • Communicate coding needs and ambiguities clearly to providers.
  • Collaborate with MRA Department and monitor trends in documentation.
  • Ensure compliance with coding guidelines and reimbursement methodologies.
  • Assist with education and support to clinical staff as needed.

Skills

HCC Coding
Attention to detail
Communication
HIPAA compliance

Education

High school diploma or GED
CPC certification
CRC/CDEO or AHIMA/AAPC credential

Tools

10-key
Word
Excel

Job description

Millennium Physician Group in Indiana is seeking a Risk Adjustment Coding Specialist II to review patient records after visits and translate documentation into provider-selected ICD-10-CM codes for claims processing.

You will collaborate with the MRA Department to validate codes to the highest specificity, identify missing information, and maintain professional certifications while ensuring HIPAA compliance and timely submissions.

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