Optum Certified Risk Adjustment Coder in Colorado Springs, Colorado
The Certified Risk Adjustment Coder will review and abstract healthcare encounter documentation and assign appropriate ICD-10-CM codes.
Effectively and efficiently work with ICD-10-CM codes for proper billing.
Correctly assign ICD-10-CM codes as supported by documentation according to Optum Risk Adjustment Guidelines.
Provide coding review and validation of visit/chart notes.
Query providers regarding missing, unclear, or conflicting health record documentation.
Delete ICD-10-CM codes that are not supported by documentation, validate code selection, and identify suspect conditions for coding.
Identify suspect/unreported HCC Codes in the notes/records to reflect the severity of the patient’s condition.
Provide feedback query (send backs) to providers in instances of coding-related problems/issues.
Back-up and assist other department personnel as required.
Complete all coding duties as assigned on a daily basis according to daily productivity requirements.
Perform additional job relevant duties as needed.
Experience in Medical Risk Adjustment coding and CMS coding guidelines.
Versed in identifying suspect and deleted conditions.
Ability to meet basic productivity guidelines and accuracy percentage of at least 96%.
Basic computer knowledge and a typing speed of at least 30 wpm.
Learn and effectively use Allscripts/Touchworks electronic health record (EHR) system and coding assisting programs.
Work with providers and clinical staff in a courteous and pleasant manner.
Work with a high level of speed and accuracy over long periods of time and stress.
Perform in an organized and efficient manner, demonstrating adaptability and flexibility.
Knowledge of coding guidelines and regulations required.
Extensive knowledge of medical terminology.
Accurately abstract healthcare encounter documentation and assign appropriate healthcare codes as supported by the documentation, with a focus on ICD-10-CM codes.
- 3 years’ experience in ICD-10-MC coding or 2 years’ minimum experience in HCC coding required.
High school diploma or general education degree (GED).
Coding Certification from AAPC or AHIMA (CPC, RHIT, RHIA, CCS, CRC) required.
Associates degree preferred.