Risk Adjustment Specialist
Essential Job Functions
Utilizes ICD10 CPT and HCPCS codes for reporting diagnosis and procedures.
Ensures progress notes are coded accurately and to the maximum level of specificity following established coding guidelines.
Ensure receipt of all progress notes, logs, walk-in notes, etc. at the end of the day.
Works with physicians for coding accuracy.
Runs outstanding encounter report daily to ensure all services have been coded and encounters have been properly closed.
Informs administrator on issues pending in the outstanding encounter report that do not pertain to coding.
Maintains administrator and Physician in Charge informed of coding issues
Maintains patient confidentiality at all times
Follows established policies and procedures
Maintains up to date on new coding regulations
Perform other duties as assigned by supervisor.
Minimum Job Requirements
High School Graduate - College Degree preferred
Medical Coding Certificate required (CPC)
Risk adjustment Certification Preferred (CRC)
1+ years of experience in Medical Coding (ICD-10, CPT, HCPC) and Billing.Test required.
Strong understanding of medical coding, medical insurance reimbursement process and strong medical terminology
Bi-lingual English/ Spanish preferred; must be able to read, write and speak English.
Proficient in the use of Computer (Windows PC Applications) and HIPPA testing required
Customer Service skills and training