Coding Specialist
Core
Reviews and assigns ICD-10 diagnosis codes for Health Risk Evaluations performed by Signify Health physicians to ensure CMS compliance and accurate risk adjustment.
Role type
Senior IC medical coder (risk adjustment)
Builds
Accurate ICD-10 and HCC coded health risk assessments for commercial, Medicare, and Medicaid members
Domain
Healthcare / Medical Coding
Required skills
ICD-10 coding, HCC (Hierarchical Condition Category) coding, CMS guidelines compliance, medical terminology, anatomy and physiology, pharmacology, medical record documentation, coding credentials (CPC, CCS, etc.)
Preferred skills
Risk adjustment coding experience, medical chart auditing/quality experience, prior healthcare field coding experience
Technologies
ICD-10, HCC, CMS guidelines
Responsibilities
Review health risk assessments for completion and compliance; Assign ICD-10 codes based on clinical identification; Communicate issues and corrections to supervisors; Maintain coding credentials and knowledge of compliant procedures; Identify and report coding problems; Complete special projects related to coding changes.
Seniority
Mid-level, hands-on IC
