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Risk Adjustment Coding Specialist II (Central Maryland)
This job is now closed
Job Description
- Req#: 93b98f70-769b-449b-8cb8-2c8c1bff9284
Employer Industry: Healthcare Services
Why consider this job opportunity:
- Salary up to $85,000 per year
- Opportunity for career advancement and growth within the organization
- Work remotely with occasional travel in Central Maryland
- Supportive and collaborative work environment
- Chance to make a positive impact on quality of care and provider education
What to Expect (Job Responsibilities):
- Review provider documentation to ensure compliance with Medicare Advantage and other risk adjustment documentation requirements
- Conduct medical record audits to assess and document coding accuracy related to Hierarchical Condition Categories (HCC)
- Interact with physicians regarding coding, billing, and documentation policies
- Provide training and support to new employees and existing staff
- Stay informed about coding regulations and changes in Medicare, Medicaid, and private payer requirements
What is Required (Qualifications):
- AAPC or AHIMA certification as a Certified Risk Adjustment Coder (CRC) & Certified Coding Specialist (CCS-P), CCS, or CPC
- 3-5+ years of experience in risk adjustment coding and/or billing
- Reliable transportation and valid driver's license; ability to travel up to 75% of work time
- Proficiency in Microsoft applications, including Word, Excel, and Outlook
- Excellent presentation, verbal, and written communication skills
How to Stand Out (Preferred Qualifications):
- Strong billing knowledge and/or Certified Professional Biller (CPB) certification
- Knowledge of Risk Adjustment and Hierarchical Condition Categories (HCC) for Medicare Advantage
- Strong PowerPoint and public speaking experience
- Experience with data analysis in Excel, including pivot tables and VLOOKUP
- Familiarity with project management tools like Monday.com
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