BroadPath is immediately hiring Clinical Risk Adjustment Medical Coders to join our remote team. Our work at home Risk Adjustment Medical Coders will be responsible for accurately coding insurance claims into the database system, ensuring compliance with all regulatory requirements and facilitating seamless claims processing.
Responsibilities:· Follow up with providers as necessary
· Coordinate with internal departments and vendors
· Ensure timely completion of medical record request to meet departmental goals and CMS deadlines
· Supports quality improvement interventions by collecting medical records data
· Data extraction, financial reconciliation, and analytics
· Participate in discussions with respect to ongoing projects
· Production and presentation of results to senior leaders
· Perform ad hoc analysis for multiple product lines
· Multi-tasking, ability to manage at macro level and dig deep into issues for successful resolution.
Qualifications:All Medical Coders shall meet the certification requirements by either American Health Information Management Association (AHIMA) or American Association of Professional Coders (AAPC). The certifications as of Nov 2023 are defined as follows, and may be subject to revision by AHIMA or AAPC:
· AHIMA: Certified Coding Specialist (CCS), Certified Coding Specialist-Physician Based (CCS-P), and Risk Adjustment Coding (RAC).
· AAPC: Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Risk Adjustment Coder (CRC), Certified Inpatient Coder (CIC)
Additional Qualifications:
· Minimum 2-years’ experience in Medical Claims Coding
· Expert knowledge of Medicare severity adjustment processes and tools
· Cultivate internal and external business relationships that will serve as resources of technical knowledge and performance improvement.
Diversity Statement:
At BroadPath, diversity is our strength. We embrace individuals from all backgrounds, experiences, and perspectives. We foster an inclusive environment where everyone feels valued and empowered. Join us and be part of a team that celebrates diversity and drives innovation!
Equal Employment Opportunity/Disability/Veterans
If you need accommodation due to a disability, please email us at HR@Broad-path.com. This information will be held in confidence and used only to determine an appropriate accommodation for the application process
BroadPath is an Equal Opportunity Employer. We do not discriminate against our applicants because of race, color, religion, sex (including gender identity, sexual orientation, and pregnancy), national origin, age, disability, veteran status, genetic information, or any other status protected by applicable law.
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