Insight Global is seeking Medical Coders specializing in Risk Adjustment Coding for a leading healthcare client. These professionals will review medical records and clinical documentation to accurately assign ICD-10-CM diagnosis codes that support risk adjustment and HCC reporting.
Review medical records, physician documentation, and clinical data to identify reportable diagnoses • Assign accurate ICD-10-CM diagnosis codes based on coding guidelines and documentation • Identify diagnoses impacting Risk Adjustment and HCC reporting • Validate coded diagnoses against clinical evidence and documentation standards • Perform prospective and retrospective chart reviews • Identify missed, unsupported, or incorrectly coded diagnoses • Ensure compliance with CMS, Medicare Advantage, HIPAA, and organizational coding requirements • Participate in coding audits and quality assurance initiatives • Communicate coding and documentation questions with providers and clinical staff • Stay up to date on ICD-10, HCC, and CMS regulatory changes
| Location | (Remote) |
| Job Type | Full-time |
| Industry | Healthcare Services |
| Salary | $44,000–$58,240 Per Year |
| Year Founded | 2001 |
| Headquarters | Atlanta, Georgia, US |
| Website | http://www.insightglobal.net |
Certified coder (CPC, CCS, CRC, CCA, or equivalent certification) • Strong ICD-10-CM coding experience and medical record review background • Knowledge of Risk Adjustment and HCC coding methodologies • Experience reviewing physician documentation and assigning accurate diagnosis codes • Strong understanding of medical terminology, anatomy, physiology, and disease processes • Ability to interpret complex clinical documentation with high accuracy and productivity • Familiarity with CMS guidelines and Medicare Advantage requirements
Company Context
ASP is a medical supply company selling products such as syringes, gowns, wound care products, and other healthcare supplies to hospitals and large physician groups.
The company is in growth mode and is targeting roughly 3x revenue growth.
They have been overhauling supply chain operations and have already transformed 4 of their 5 supply chain organizations.
The previous person in the role was promoted to Director, which suggests there is visibility and growth potential.
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