Atlantic Group
Responsibilities
- Perform code abstraction and/or coding quality audits of medical records to ensure ICD-10-CM codes are accurately assigned and supported by clinical documentation. Primarily for QHP (RADV).
- Ability to code government and state models, including code everything projects.
- Maintain current knowledge of ICD-10-CM codes, CMS documentation requirements, and state and federal regulations.
- Maintain a 95% accuracy rate on all coding projects.
- Assist with code abstraction and coding quality audits using the Official Coding Guidelines for ICD-9-CM/ICD-10-CM, AHA Coding Clinic Guidance, and in accordance with all state regulations, federal regulations, internal policies, and procedures.
Requirements
- Current core coding credentials through AHIMA or AAPC (RHIT, CCS, CCS‑P, CPC, CIC, etc.). The AAPC CRC (Certified Risk Adjustment Coder) coding certification is highly recommended.
- RADV Experience Mandatory.
- Strong organizational skills.
- Technical savvy with high level of competence in basic computer skills, Microsoft Outlook, Word, Excel, and Outlook.
- Strong written and verbal communication skills.
- Ability to work independently in a remote environment.
- Private lockable office space to ensure security of member PHI.
- Minimum of 7 years coding experience with at least 5 of those years in Risk Adjustment coding.
- Completion of an accredited medical coding program with current unencumbered credentials.
Required Education
- CPC Certification.
Required Experience
- Risk Adjustment coding: 5 years.
- Coding: 7 years.
Seniority Level
Associate
Employment Type
Contract
Job Function
Accounting/Auditing
Industries
Hospitals and Health Care
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