Responsibilities
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Review medical records for accurate, compliant, and complete coding.
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Code according to ICD-10-CM Official Guidelines, AHA Coding Clinic, Cotiviti and client-specific guidelines.
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Handle special projects requiring full coding review.
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Maintain >95% quality accuracy in coding.
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Communicate workload, production, and deliverables with management.
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Utilize Dispute Resolution process when needed.
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Stay current on coding guidelines via training and research.
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Complete all assigned responsibilities, special projects, and performance plan tasks.
Qualifications
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Education: Minimum High School Diploma.
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Certifications: Nationally certified coder in good standing through AAPC or AHIMA (CRC, CPC, CCS, etc.).
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Experience: 1–2 years in medical risk adjustment / HCC coding, with knowledge of record abstraction and coding requirements.
Skills & Abilities
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High level of accuracy and productivity in clinical coding work.
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Knowledge of medical terminology, anatomy, and physiology.
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Adherence to official coding guidelines and regulatory compliance.
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Strong written and verbal communication skills.
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Skilled in organization, time management, and working in a fast-paced environment.
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Comfortable with computers and coding platforms.
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Ability to adapt to changing priorities and work independently or in a team.
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HIPAA and patient confidentiality compliance.
Physical & Work Requirements
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Dedicated, secure workspace at home.
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High-speed internet and reliable office setup.
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Prolonged sitting or standing; repetitive hand/wrist movements.
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Participation in required training sessions.
Benefits
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Competitive hourly pay and discretionary bonus eligibility.
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Overtime pay for hours exceeding 40 per week.
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Comprehensive benefits: medical, dental, vision, life insurance, disability.
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401(k) savings plan and paid family leave.
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Paid holidays (9 per year) and 17–27 days PTO, depending on service length.