Medical Coder - Onsite (Conviva Care Solutions)- San Antonio, TX
Humana

Job Info

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Description

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.

Responsibilities

• 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.

Required Qualifications

• 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

Preferred Qualifications

• Bachelor's Degree
• CRC Certification
• 5 or more years of Risk Adjustment experience.

Additional Information

Scheduled Weekly Hours

40

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