HCC Coder I
- Review and analyze provider documentation to ensure presence of all required components of the legal medical record.
- Perform a comprehensive review of outpatient and inpatient charts for documentation consistency and adequacy to identify all appropriate coding based on Centers for Medicare & Medicaid Services (CMS) HCC categories.
- Accurately follows ICD-10-CM coding and reporting guidelines according to established AZPC coding policy.
- Demonstrate analytical and problem-solving ability with regard to barriers in receiving and validating accurate HCC information.
- Complete appropriate documentation/data entry to report all validated ICD-10 codes.
- Support and participate in process and quality improvement initiatives.
- Take responsibility and ownership of coding projects as assigned. Work with other team members and ensure completion with appropriate speed and expected accuracy.
- Keeps current on all governmental medical and legal issues specific to coding and compliance.
- Attends seminars and in-services as required to remain current on coding issues.
- Responsible for sharing knowledge of issues with management staff.
- Other duties as assigned.
- High school diploma or equivalent – Required.
- Current Coding Certification through AHIMA or AAPC required, one year experience using ICD-9/ICD-10 & CPT preferred.
- Completion of training in Medical Terminology, Anatomy and Physiology, Pathophysiology of Diseases preferred or other healthcare related experience.
- Excellent interpersonal skills.
- Computer Competency and modern office practices.
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