Risk Adjustment Coding Auditor II, AAPC or AHIMA coding certification required
CareSource
full-time
Posted on:
Location Type: Remote
Location: Remote • 🇺🇸 United States
Visit company websiteSalary
💰 $54,500 - $87,300 per year
Job Level
Mid-LevelSenior
About the role
- Responsible for performing over-reads of vendor ICD-10 coding
- Reviewing provider documentation supplied to them
- Validates the accurateness of ICD-10 codes assigned by the vendor
- Tracks the trends and reports on the findings
- Demonstrates a thorough understanding of Risk Adjustment hierarchical condition categories (HCCs)
- Participates in quality coding initiatives as appropriate or assigned
- Maintains knowledge of AHA Coding Clinic and ICD-10 Official Guidelines for Coding and Reporting
- May be asked to perform over reads of provider coding/documentation
- Meets deadlines and works independently on multiple projects
Requirements
- High School Diploma or GED is required
- Minimum of three (3) years of diagnostic coding experience and a firm understanding of ICD-10 is required
- A minimum of three (3) years of experience in auditing medical records is required
- Risk Adjustment methodology experience required
- Intermediate level with Microsoft Word, Microsoft Outlook, Microsoft Excel
- Knowledgeable and experienced with researching CMS and other sites for Risk Adjustment guidance
- Exceptional knowledge of medical coding and regulatory requirements
- Knowledgeable of Medicaid, Medicare, Exchange
- Knowledgeable of ICD-10
- Ability to make independent decisions on ICD 10 code assignments
Benefits
- Comprehensive total rewards package
- Bonus tied to company and individual performance
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
ICD-10 codingdiagnostic codingauditing medical recordsRisk Adjustment methodologymedical codingregulatory requirements
Soft skills
independent decision makingtime management
Certifications
High School DiplomaGED