Assigned codes to patient symptoms, diagnosis, operations, and treatments to process reimbursements; knowledge and expertise in reviewing and adjudicating coding services procedures and diagnoses on medical claims. Completes accuracy and timely entry of ICD-9-CM, HCPCS procedure codes and CPT codes into the NextGen system.
1. A minimum of one year of college or a minimum of five years of experience as a risk adjustment coder.
2. Prospective review of current and suspect conditions for risk adjusted population.
3. Prepare plan for outreach for visit capture/recapture, medical record audit to ensure accuracy.
4. Experience with EPIC eHR
5. Accreditation as a Certified Risk Adjustment Coder (CRC) preferred.