Medical Coder
$45,000–$55,000 year
On-siteWindsor Mill, Maryland, United States
Job Summary
Perform diagnosis coding of inpatient, outpatient, and physician office medical records per Risk Adjustment and Medicare Part C guidelines. Conduct intake validity checks on submitted medical records to verify acceptable physician specialty types, relevant dates of service, and required signatures. Enter data into encoder and other software systems while maintaining security and confidentiality of Protected Health Information. Review feedback from Senior Coders to improve accuracy and consistently meet productivity and accuracy standards of 95% minimum IRR. Report unique record or process issues to Project Leads and collaborate with peers and customers to support audit goals.
Required Qualifications
- A minimum of one (1) years of experience in coding general acute hospital (inpatient and outpatient, non-internship) and/or multi-specialty physician office medical records by applying ICD-9-CM/ICD-10-CM coding guidelines
- Must be a certified coder who is credentialed by a recognized credentialing institution (AAPC, AHIMA)
- Acceptable certifications: CPC, CCS, RHIA, RHIT
- Must be proficient in Microsoft Office Suite
- Flexibility and ability to plan, prioritize, and execute multiple tasks in a fast-paced environment
- Ability to maintain a high level of confidentiality and integrity
Desired Qualifications
- CRC certification is a plus
- Experience in abstracting and ICD-9/ICD-10 coding preferred
- Experience in Risk Adjustment Data Validation or CMS-HCC audits preferred
- Experience in performing medical record coding audits including complex medical record abstraction
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