Medical Coder (Risk Adjustment)- 238512

Job Description: Medical Coder – Risk Adjustment CONTRACT!!

We are seeking a detail-oriented and experienced Medical Coder specializing in Risk Adjustment and ICD-10-CM diagnostic coding. The ideal candidate will have a strong background in reviewing medical records, identifying chronic conditions, and coding according to industry guidelines to ensure accurate and compliant documentation.

Responsibilities: • Review medical records to identify and validate Risk Adjustment conditions and chronic conditions. • Accurately apply ICD-10-CM diagnostic codes following the latest coding guidelines and standards. • Search for medical records within an EHR interface and document findings with precision. • Identify and code social determinants of health (SDOH) in accordance with ICD-10 guidelines. • Maintain organized and accurate spreadsheets of coding findings, including detailed notes on any unique or complex cases requiring additional review. • Ensure strict compliance with HIPAA privacy guidelines and maintain the confidentiality of sensitive patient data. • Stay updated on current ICD-10-CM guidelines, AHA Coding Clinics, and regulations related to Risk Adjustment and HCC coding.

Qualifications: • Certified Professional Coder (CPC) or Certified Risk Adjustment Coder (CRC) credential from the AAPC. • 3–4 years of hands-on experience in ICD-10-CM diagnostic coding, with a preference for experience in Risk Adjustment or HCC coding. • Strong familiarity with EHR systems and tools for medical record review. • Comprehensive understanding of ICD-10 coding guidelines and the ability to interpret complex medical documentation accurately. • Excellent attention to detail, organizational skills, and the ability to manage time effectively.

Preferred Experience:
• Direct experience working with Risk Adjustment models and coding for Hierarchical Condition Categories (HCC).
• Background in analyzing social determinants of health (SDOH) for coding purposes.

This role offers an opportunity to contribute significantly to the accuracy and efficiency of medical coding in a dynamic and compliant environment. If you are a coding professional with a passion for excellence, we encourage you to apply!

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