Senior BPM Associate (HCC Risk Adjustment Coder)
UST Global Inc
Assign appropriate ICD-10-CM codes, mapping to risk adjustment models for Medicare Advantage and ACA Commercial Projects.
Assign Flag events and CDI for documentation discrepancies.
Comply with the Standards of Ethical Coding as set forth by the American Health Information Management Association and adhere to official coding guidelines
Comply with HIPAA laws and regulations
Maintain quality (=>97%) and production standards
Remain up to date on diagnosis, coding guidelines and risk adjustment reimbursement reporting requirements
Other tasks as needed/required
Qualifications:
Medical allied course an advantage and Risk Adjustment experience can be considered in lieu of educational requirement Medical coding experience an advantage Active coding certification under AAPC or AHIMA or Certified Risk Adjustment Coding Certification (CRC) Able to code using ICD-10 CM physical codebook or coding software Strong clinical knowledge related to chronic illness diagnosis, treatment and management Computer proficiency (MS Office and internet) Amenable to nightshift
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