What are the responsibilities and job description for the Medicare Risk Adjustment Coder position at Core Healthcare Alliance?
Job Overview
We are seeking a highly motivated and detail-oriented Medicare Risk Adjustment Coder to join our dynamic healthcare team. In this vital role, you will be responsible for accurately reviewing patient medical records for prospective reviews to ensure proper risk adjustment and reimbursement. Your expertise will help improve the quality of care documentation, optimize revenue cycles, and support compliance with federal Medicare guidelines. This position offers an exciting opportunity to contribute to the efficiency and accuracy of healthcare billing processes while working in a fast-paced, collaborative environment.
Responsibilities
- Review patient medical records, clinical documentation, and encounter data to assign appropriate ICD-10 (International Classification of Diseases, 10th Revision) codes for risk adjustment purposes.
- Collaborate with healthcare providers to clarify documentation gaps or discrepancies that impact coding accuracy.
- Maintain compliance with all Medicare regulations, guidelines, and coding standards related to risk adjustment.
- Use Electronic Medical Record (EMR) and Electronic Health Record (EHR) systems efficiently for documentation review and coding processes.
- Stay updated on changes in medical coding standards, ICD updates, and Medicare policies to ensure ongoing accuracy and compliance.
Qualifications
- 5 years recent experience with prospective chart reviews
- Proven experience in medical coding, specifically with ICD-10 coding systems, with a strong understanding of medical terminology.
- Knowledge of medical records management, including documentation review and medical collection processes.
- Prior experience working with EMR/EHR systems is highly desirable.
- Strong attention to detail with excellent organizational skills to manage multiple records efficiently.
- Ability to interpret complex clinical information accurately and communicate effectively with healthcare providers.
- Certification as a Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent isrequired.
- Must obtain a Certified Risk Coder (CRC) within 12 months.
Join us as a Medicare Risk Adjustment Coder and play a crucial role in enhancing healthcare quality while ensuring accurate financial processes! We value energetic professionals who are eager to make a difference through precision, collaboration, and continuous learning in the evolving landscape of healthcare coding.
Pay: $50,000.00 - $65,000.00 per year
Benefits:
- Dental insurance
- Health insurance
- Paid time off
- Vision insurance
Work Location: Remote
Salary : $50,000 - $65,000