Medical Coder - Remote

Overview

The CareBridge Medical Coder reviews all provider visit medical encounters for dual members and applies the most accurate diagnosis codes (ICD-10 codes). The Medical Coder serves as a resource and subject matter expert in the CMS Risk Adjustment Model. Additionally, the Medical Coder may identify missed opportunities to capture appropriate diagnosis codes.

In Short

• Runs a billing report in EMR for all providers to identify completed and signed notes
• Reviews all medical documentation for completed visit notes as well as patient profile information in EMR for each member
• Assigns the appropriate ICD-10 code for each diagnosis
• Provides feedback to the provider on opportunities for improved documentation to support specific codes

Requirements

• Certification as a Medical Coder
• AAPC Certified Risk Adjustment Coder (CRC™) is preferred
• At least 2 years' experience in applying appropriate diagnosis in the Medicare HCC model
• Expertise with the most current CMS Risk Adjustment Model

Benefits

• An entrepreneurial spirit. Must be a tenacious self-starter
• Flexible and adaptable to a constantly changing workload
• Must enjoy working in a fast-paced environment
• A sense of humor and a down-to-earth nature