Professional Coder I

Job Title :   Professional Coder I

Position : Fully Remote

Note : Potential temp-perm so must be local to client location

Description Summary :

• Accountable for accurately reviewing, interpreting, auditing, coding, and analyzing medical record documentation for diagnosis accuracy, correct documentation, and Hierarchical Coding Condition (HCC) abstraction.
• Review may include inpatient, outpatient treatment and / or professional medical services, according to ICD-9 / ICD-10 CM coding guidelines and risk adjustment model regulations.
• Supports Annual Commercial (ACA) and Medicare Advantage Risk Adjustment Data Validation Audits (RADV) along with the annual Risk Adjustment life cycle for the Medicare, Medicaid, and Commercial lines of business.

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