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HCC Certified Coder
Monogram HealthHCC Certified Coder responsible for medical coding and documentation for Monogram Health. Collaborating with providers and coding team to ensure compliance and accuracy in clinical coding practices.
About the role
Key responsibilities & impact- The HCC Certified Coder will be responsible for abstracting clinical information and assigning appropriate diagnosis and procedure codes in accordance with nationally recognized coding guidelines
- Analyze and translate medical and clinical documentation in alignment with the CMS Risk Adjustment Models
- Collaborate closely with the coding team and providers to ensure accurate and compliant documentation and coding practices
- Perform coding for patient health assessments
- Conduct peer coding quality reviews
- Support provider and coding team training and education
- Conduct prospective medical chart audits
- Perform coding abstraction and medical chart quality audits to ensure clinicians have accurate clinical documentation to support ICD-10 codes
- Educate clinicians on coding opportunities identified in chart reviews
- Perform accurate and timely coding (CPT, ICD-10, HCPCS, modifiers)
- Provide timely correspondence with providers regarding clinical documentation opportunities and queries
- Identify trends through data analysis or chart review
- Maintain a minimum of 95% coding accuracy and meet established productivity standards
- Stay current with regulatory, documentation, and coding guidelines
Requirements
What you’ll need- High school Diploma or GED required
- CPC, CRC, CCS, or CCS-P credentials required
- Minimum of three (3) years of experience in Certified Coder role
- Proficiency with Microsoft Word, Excel, PowerPoint, and Electronic Medical Records
- Demonstrate advanced knowledge of medical terminology, anatomy, and physiology
- Experience communicating & working closely with Physicians
- Able to work remotely with proven ability to prioritize tasks, meet goals and deadlines
- Experience in Medicare programs and regulations including fraud and abuse and Risk Adjustment
- Familiar with STARs performance measures and metrics
- Experience with Athena, medical billing, and coding Nephrology are preferred skills
Benefits
Comp & perks- Comprehensive Benefits - Medical, dental, and vision insurance
- employee assistance program
- employer-paid and voluntary life insurance
- disability insurance
- health and flexible spending accounts
- Financial & Retirement Support – Competitive compensation
- 401k with employer match
- financial wellness resources
- Time Off & Leave – Paid holidays
- flexible vacation time/PSSL
- paid parental leave
- Wellness & Growth – Work life assistance resources
- physical wellness perks
- mental health support
- employee referral program
- BenefitHub for employee discounts
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
CPT codingICD-10 codingHCPCS codingcoding abstractionmedical chart auditsdata analysiscoding quality reviewsclinical documentationmedical terminologyanatomy and physiology
Soft Skills
collaborationcommunicationtraining and educationprioritizationtime management
Certifications
CPCCRCCCSCCS-P