Humana Medical Coder - Onsite (Conviva Care Solutions)- San Antonio, TX in San Antonio, Texas
The Medical Coder extracts clinical information from a variety of medical records and assigns appropriate risk adjustment codes (ICD-10-CM) to patient records. The Medical Coder assumes ownership and leads advanced and highly specialized administrative/operational/customer support duties that require independent initiative and judgment. Pay based on experience.
Identify, assess, monitor, and document coding information as it pertains to Hierarchical Condition Categories (HCC).
Verify and ensure the accuracy, completeness, specificity and appropriateness of diagnosis codes based on services rendered.
Review medical record information to identify all appropriate coding based on CMS HCC categories.
Interact with physicians, staff, and mid-levels to ensure accurate coding.
Complete appropriate paperwork/documentation/system entry regarding encounter information.
Monitor coding changes to ensure that most current information is available.
Demonstrate analytical and problem-solving ability regarding barriers to receiving and validating accurate HCC information.
Support and participate in process and quality improvement initiatives.
Other duties as assigned.
Certified medical coder with one of the following certifications CPC, CPC-H or CPMA from AAPC or CCSP, CCS from AHIMA. No CPC-A please.
2+ Years Risk Adjustment (HCC) Experience
Must be passionate about contributing to an organization focused on continuously improving consumer experiences
5 or more years of Risk Adjustment experience.
Scheduled Weekly Hours
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