Medical Records Coder

  • Location

    Nashville, United States

  • Sector:

    Other Area(s)

  • Contact:

    Xyrene Calma

  • Job ref:


  • Published:

    over 1 year ago

  • Expiry date:


  • Consultant:


Duties: Primary Functions:

Responsible for reviewing Medical Records for compliance with company/CMS standards for Individual Family Plans and/or Medicare Advantage Risk Adjustment programs. Accurately assigns ICD-9-CM/ICD-10-CM codes on all diagnoses provided in the medical record.  A coder must have demonstrated the willingness and ability to take on additional assignments as requested by the Coding Supervisor.  This position will also participate in internal compliance review audits to assure that proper documentation, coding, and provider education are occurring.


Essential Duties:


Ability to work independently, completing assigned work within allocated timeframes Demonstrates ability to accurately apply industry standard coding guidelines and Coding Clinic instructions Consistent application of correct ICD-10-CM codes on all diagnoses provided maintaining average speed established by team and supervisor with 95% or higher accuracy Demonstrates medium proficiency with Microsoft Outlook, Microsoft Excel, Microsoft Word Demonstrates clear and concise professional communication with peers and supervisors, in verbal, telephonic, and written communication Demonstrates knowledge of HIPAA guidelines and protection of PHI in physical and electronic environments Demonstrates the ability to follow verbal and written directions accurately and timely Demonstrates the ability to follow applicable policies and procedures Ability to work independently to accomplish assigned work within the allocated time


Performs other related duties as requested, which may or have not be listed in the job description


Proficiency with ICD-10-CM coding and guidelines Familiarity with CMS regulations and polices related to documentation and coding, both with Inpatient and Outpatient documentation HCC coding experience preferred Computer competency with excel, MS Word, Adobe Acrobat Must be detail oriented, self-motivated, and have excellent organization skills Risk Adjustment/CMS knowledge helpful




High School Diploma

At least two year's coding experience with certification by either the American Health Information Management Association (AHIMA) or the American Academy of Professional Coders (AAPC) in one of the following certifications:


Certified Professional Coder (CPC)    

Certified Coding Specialist for Providers (CCS-P) Certified Coding Specialist for Hospitals (CCS-H) Registered Health Information Technician (RHIT) Registered Health Information Administrator (RHIA) Certified Risk Adjustment Coder (CRC) certification