ICD-10 Coder

We are seeking an ICD-10 Coder to join our team. As an ICD-10 Coder, you will be responsible for ICD-10 coding of Health Risk Evaluations of Commercial, Medicare, and Medicaid members performed by Signify Health physicians. You will review Health Risk Assessments/Evaluations to ensure completeness, accuracy, and compliance with CMS guidelines.

Responsibilities:

• Review health risk assessments/evaluations to determine completion and compliance with CMS guidelines on a timely basis.
• Review and assess the accuracy, completeness, specificity, and appropriateness of diagnosis codes identified in the health risk assessments/evaluations.
• Assign all ICD-10 codes that are clinically identified and supported in the assessment/evaluation on a timely basis.
• Communicate timely and effectively with supervisor regarding issues with the health risk assessments/evaluations and/or corrections required.
• Understand the relationship between ICD-10 coding and HCC (hierarchical condition category) coding.
• Provide guidance to the Director of Coding to ensure the organization is following Medicare coding protocol for payment of claims.
• Demonstrate a commitment to integrating coding compliance standards into coding practices.
• Maintain adequate knowledge of compliant coding procedures related to risk adjustment.
• Maintain coding credentials.
• Complete special projects as assigned by management.
• Follow all legal and policy requirements for HIPAA protected data.
• Actively demonstrate teamwork at all times.
• Ability to work overtime.
• Meet and maintain required accuracy and efficiency standards.

Requirements:

• Active core credential: CPC, CPC-A, COC, CCS, CCS-P, CCA, or RHIT.
• CRC required.
• Current coding certifications in good standing.
• Minimum of 1 year of experience in ICD-10 coding.
• Prior work experience in the healthcare field specifically related to coding is preferred.
• Experience and knowledge of risk adjustment coding.
• Experience with medical record documentation.
• Prior medical chart auditing/quality experience preferred.
• Advanced knowledge of medical terminology, abbreviations, anatomy and physiology, major disease processes, and pharmacology.

Benefits:

• Medical, dental, and vision coverage.
• Paid time off.
• Retirement savings options.
• Wellness programs.
• Education assistance.
• Free development courses.
• CVS store discount.
• Discount programs with participating partners.

Salary: $25.00 - $27.00 per hour