Certified Medical Coder Job at Apex Health Solutions, Houston, TX

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  • Apex Health Solutions
  • Houston, TX

Job Description

Summary  

Certified Medical Coder role  is responsible for reviewing, abstracting, and coding inpatient and/or outpatient medical records to ensure proper ICD-10-CM, HCPCS, and CPT coding and compliance with Risk Adjustment requirements.  

Key Responsibilities  

  • Follows CMS Risk Adjustment guidelines and has a complete understanding of their real-world   application  

  • Reviews  submitted medical records to  identify ICD-10-CM diagnoses, ensuring the documentation   meets all CMS standard requirements for valid submission  

  • Codes all diagnoses and services accurately and completely, from the medical record  in accordance   with the ICD-10-CM coding classification system  

  • Selects and accurately records all  appropriate records and data on assigned chart abstraction projects  

  • Ability to meet productivity and accuracy requirements  

  • Performs other duties as assigned  

Qualifications  

  • High School Diploma or GED  required   

  • A certification in one of the following is  required :  

  • Certified Professional Coder (CPC) 

  • Certified Risk Adjustment Coder (CRC) 

  • Certified Coding Specialist (CCS) 

  • Registered Health Information Technician (RHIT) 

  • Registered Health Information Administrator (RHIA) 

  • Minimum of three (3) years HCC experience performing  concurrent and  retrospective risk adjustment chart review s   required  

  • Current AAPC or AHIMA credential  required  

  • Risk Adjustment / HCC knowledge  required  

  • Managed Care experience preferred  

Job Tags

Full time,

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