Job Description

Description

We are seeking an experienced Medical Coder and Quality Manager specializing in Hierarchical Condition Category (HCC) coding to join our team. The ideal candidate will have 8-10 years of experience in medical coding and quality management, with a strong focus on compliance and accuracy.

Responsibilities

  • Review and analyze medical records to ensure accurate coding and documentation of patient diagnoses and procedures.
  • Ensure compliance with all coding guidelines, regulations, and policies including ICD-10, CPT, and HCC guidelines.
  • Conduct audits to assess coding accuracy and improve overall quality of coding within the organization.
  • Collaborate with healthcare providers to clarify documentation and coding discrepancies.
  • Provide training and support to coding staff on best practices and updates in coding standards.
  • Analyze coding data and generate reports for managem...

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