IPA Medical Coder

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Job Description & Responsibilities:

The Medical Coder extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Medical Coder assumes ownership and leads advanced and highly specialized administrative/operational/customer support duties that require independent initiative and judgment. The Medical Coder confirms appropriate diagnosis related group (DRG) assignments. Review and analyze patient medical records to identify accurate ICD-10-CM diagnosis codes, ensuring all relevant conditions affecting patient's care are documented to the highest level of specificity. Validate that documentation supports risk adjustment coding and HCC capture in compliance with regulatory guidelines. Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information. Decisions are regarding the daily priorities for an administrative work group and/or external vendors including coordinating work activities and monitoring progress towards schedules/goals, and often oversees work of others and/or is the primary administrative owner of a main process, program, product or technology. Works within broad guidelines with little oversight.

Qualifications:

* PLEASE SUBMIT A COPY OF YOUR RESUME and YOUR AAPC or AHIMA CERTIFICATION CARD WITH EXPIRATION DATE ** Certified medical coder with one of the following certifications CPC, CPC-A, CPC-H or CPMA from AAPC or CCA, CCSP, or CCS from AHIMA. ICD-10-CM coding knowledge. Proficiency with computers, including Microsoft Outlook, Teams, Adobe and Office products. Must be passionate about contributing to an organization focused on continuously improving consumer experiences. Preferred Qualifications: Bachelor's Degree. 5 or more years of experience as a certified medical coder. Familiar working within a variety of electronic medical record systems (EMRs/EHRs). Prior experience in a role requiring direct communication with physicians and other healthcare professionals. Strong written/verbal communication skills. Prior experience working in Medicare Risk Adjustment.

Salary:

$53,100 - $72,500 per year

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