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Certified Medical Coder
Certified Medical CoderApex Health Solutions • Houston, TX, US
Certified Medical Coder

Certified Medical Coder

Apex Health Solutions • Houston, TX, US
30+ days ago
Job type
  • Full-time
Job description

Job Description

Job Description

Summary

Certified Medical Coder role is responsible for reviewing, abstracting, and coding inpatient and/or outpatient medical records to ensure proper ICD-10-CM, HCPCS, and CPT coding and compliance with Risk Adjustment requirements.

Key Responsibilities

  • Follows CMS Risk Adjustment guidelines and has a complete understanding of their real-world application

  • Reviews submitted medical records to identify ICD-10-CM diagnoses, ensuring the documentation meets all CMS standard requirements for valid submission

  • Codes all diagnoses and services accurately and completely, from the medical record in accordance with the ICD-10-CM coding classification system

  • Selects and accurately records all appropriate records and data on assigned chart abstraction projects

  • Ability to meet productivity and accuracy requirements

  • Performs other duties as assigned

Qualifications

  • High School Diploma or GED required

  • A certification in one of the following is required:

  • Certified Professional Coder (CPC)

  • Certified Risk Adjustment Coder (CRC)

  • Certified Coding Specialist (CCS)

  • Registered Health Information Technician (RHIT)

  • Registered Health Information Administrator (RHIA)

  • Minimum of three (3) years HCC experience performing concurrent and retrospective risk adjustment chart reviews required

  • Current AAPC or AHIMA credential required

  • Risk Adjustment / HCC knowledge required

  • Managed Care experience preferred

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Certified Medical Coder • Houston, TX, US

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