Medical Records Coder

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