Job Description

Job Description

Job Description:

Job Title: Risk Adjustment Medical Coder

Location: Meridian Idaho 83642

Duration: 6+ Months Contact to Hire

Job Overview

Responsible for medical record retrieval, coding, and auditing to ensure accuracy in risk adjustment and revenue processes, focusing on Hierarchical Condition Categories (HCC).

Key Responsibilities

• Coordinate outreach to physician groups/vendors for chart procurement.
• Research and resolve non-retrievable chart issues.
• Retrieve records via electronic or on-site methods.
• Review, audit, and code medical records and claims for HCC compliance.
• Ensure alignment with ICD-10-CM, CMS regulations, and organizational policies.
• Assist in developing risk adjustment documentation and coding tools.

Qualifications

• Experience: 3+ years in healthcare or health insurance; HCC/risk adjustment coding preferred.
• Certifications: Certified Professional Coder (CPC) required; Certified Risk Adjustment Coder (CRC) preferred.
• Skills: Proficiency in ICD-10-CM, EHR systems, and claims analysis; strong communication and problem-solving skills.

DEXIAN is an Equal Opportunity Employer that recruits and hires qualified candidates without regard to race, religion, sex, sexual orientation, gender identity, age, national origin, ancestry, citizenship, disability, or veteran status.

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