
Medical Coding Specialist
21 hours ago
Job Title: HCC Coding Specialist
We are seeking a highly skilled HCC coding professional to join our team. This is an exciting opportunity to work with us and contribute your expertise in healthcare coding, compliance, and training.
Key Responsibilities:- HCC Coding & Compliance: Perform accurate HCC coding using ICD-10-CM guidelines in accordance with CMS regulations.
- Review Medical Records: Review medical records to ensure appropriate capture of diagnoses impacting risk adjustment.
- Conduct Quality Audits: Conduct quality audits to ensure compliance with industry standards, payer requirements, and internal policies.
- Design and Deliver Training Programs: Design and deliver structured training programs for new joiners in HCC coding.
- Mentor, Coach, and Evaluate Trainees: Mentor, coach, and evaluate trainees' progress with constructive feedback.
- Provide Refresher Training Sessions: Provide refresher training sessions to keep the team updated on regulatory changes and best practices.
- Work Closely with QA Teams: Work closely with QA teams, auditors, and compliance teams to improve accuracy and efficiency.
- Identify Gaps in Trainee Performance: Identify gaps in trainee performance and implement improvement plans.
- Contribute to SOPs and Training Manuals: Contribute to the development of standard operating procedures (SOPs) and training manuals.
Required Skills and Qualifications:
- Bachelor's Degree in Life Sciences or Healthcare: Bachelor's degree in Life Sciences, Healthcare, or related field (preferred).
- Experience in HCC Coding: 3–6 years of experience in HCC coding with strong knowledge of ICD-10-CM guidelines.
- Certified Professional Coder: Certified Professional Coder (CPC), CRC, or equivalent certification is mandatory.
- Experience in Training or Mentoring: Experience in training, mentoring, or leading junior coders is highly desirable.
- Strong Analytical and Communication Skills: Strong analytical, communication, and presentation skills.
- Detail-Oriented with Minimal Supervision: Detail-oriented with the ability to work under minimal supervision.
- Knowledge of Compliance and Risk Adjustment: Knowledge of compliance, CMS regulations, and risk adjustment models.
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