qualification requirements:
• current coding certification (cpc, cpc-p, cpc-h, cpc-i, crc, ccs) through aapc and/or ahima.
• minimum of 5 years coding experience with specific knowledge of medicare and commercial risk
adjustment such as hierarchical condition category (hcc)
• additional experience in facility (opps/ipps) coding experience is preferred
• additional experience in health plan risk adjustment data validation audit (radv) experience is
preferred
experience and skills:
• ability to work independently in a fast-paced remote environment with minimal supervision and
guidance
• ability to interact with management and remote coding personnel
• possess strong organizational skills and attention to detail
• ability to adapt to changing priorities while managing a wide range of projects
• adaptive and flexible to new ideas and change
• advanced knowledge of medical terminology, anatomy and pharmacology
• advanced skills utilizing official coding resources for research and problem solving
• advanced skills and knowledge of computers, use of required software to perform job functions
• excellent written and communication skills and the ability to explain complex information