Change Healthcare is a major Client of Microsourcing which is a leading Healthcare Technology Company focused on accelerating the transformation of the U.S. healthcare system.
This is for direct and full-time employment as a Risk Adjustment Medical Coder.
Job Description
Risk Adjustment Medical Coder is responsible for applying clinical and/or medical coding knowledge in the review of evidentiary documentation in medical records. This position requires the ability to perform and complete diagnostic coding, abstraction of pharmaceutical studies, HEDIS medical records review, and other related duties in high quality and productive environment.
Duties and Responsibilities
Clinical Abstraction assignments may include work from all lines of Company business (e.g., diagnostic auditing, HEDIS review, drug safety/efficacy studies). Each assignment will have specific requirements and timelines.
Diagnostic Coding: Medical Coders review assigned medical records and apply appropriate diagnostic codes and modifiers according to Generally Accepted Medical Coding Guidelines, ICD-10-CM Guidelines, and CMS Correct Coding Initiatives, coding guidelines approved by CMS, and all rules, regulations, and guidelines promulgated by CMS and applicable to contractors and subcontractors of CMS-approved sponsors (collectively “Standards”), all as reasonably interpreted by the Company.
HEDIS Reviews: Medical Coders review assigned medical records and document and measure specific clinical data according to NCQA technical specifications for hybrid medical records reviews.
Health Outcomes Studies: Medical Coders review assigned medical records and document relevant clinical data according to stated study objectives.
Minimum Qualifications:
Must have a Certification as a Professional Coder. (CPC/CRC under AAPC or AHIMA)At least 1 year of experience in Medical Coding, preferably Risk Adjustment/HCC Coding.Extensive knowledge of ICD-9-CM/ICD-10-CM outpatient diagnosis coding guidelines.Ability to code using an ICD-9-CM/ICD-10-CM codebook (without using an encoder).What's in it for you??
100k Sign-on Bonus *Terms and conditions applyEarn as high as 55k monthly salary *based on years of experienceHMO (medical insurance) coverage on Day 1 plus 2 free dependentsFlexible Medical reimbursementsGroup life insurance