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Risk Adjustment Coding Specialist
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- Risk Adjustment Coding Specialist
- The Risk Adjustment Coder/Auditor works under the direct supervision of the Coding Manager and collaboratively with others in the organization, including ACO support staff, quality specialists, HIS team and clinical staff.
- The coders primary responsibilities are to code, abstract and analyze outpatient medical records using ICD.10 and CPT coding guidelines and educate network providers on proper documentation and coding practice.
- The coder will perform these medical record reviews to ensure proper medical diagnoses are coded appropriately and that the members medical record documentation supports the codes accurately in accordance with CMS, CPT and ICD.10 guidelines.
- Perform chart reviews which include coding, abstracting and analyzing outpatient medical records using ICD.10 coding guidelines.
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