Certified Medical Coder
- Job Title
- Certified Medical Coder
- Job ID
- 27768353
- Location
- Houston, TX, 77046
- Other Location
- Description
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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
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Follows CMS Risk Adjustment guidelines and has a complete understanding of their real-world application
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Reviews submitted medical records to identify ICD-10-CM diagnoses, ensuring the documentation meets all CMS standard requirements for valid submission
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Codes all diagnoses and services accurately and completely, from the medical record in accordance with the ICD-10-CM coding classification system
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Selects and accurately records all appropriate records and data on assigned chart abstraction projects
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Ability to meet productivity and accuracy requirements
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Performs other duties as assigned
Qualifications
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High School Diploma or GED required
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A certification in one of the following is required:
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Certified Professional Coder (CPC)
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Certified Risk Adjustment Coder (CRC)
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Certified Coding Specialist (CCS)
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Registered Health Information Technician (RHIT)
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Registered Health Information Administrator (RHIA)
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Minimum of three (3) years HCC experience performing concurrent and retrospective risk adjustment chart reviews required
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Current AAPC or AHIMA credential required
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Risk Adjustment / HCC knowledge required
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Managed Care experience preferred
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