Senior BPM Associate (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 current on diagnosis and coding guidelines and risk adjustment reimbursement reporting requirements
Other duties as assigned / needed
Qualifications:
At least 2+ year of medical coding experience (HCC Risk Adjustment) Active coding certification under AAPC or AHIMA; Certified Risk Adjustment Coding (CRC) certification preferred Able to code using ICD-10-CM physical codebook or coding software. Strong clinical knowledge related to chronic illness diagnosis, treatment, and management Proficient in using computers, including MS OfficeAdditional Requirements:
Night shift is mandatory. This is a full-time, in-office role with 5 working days per week.
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