**Experienced Full Stack RADV Certified Coder – Remote Risk Adjustment Data Validation and Medical Record Review Specialist**
About the Role:
Are you a highly skilled and detail-oriented medical coder looking for a challenging and rewarding remote opportunity? Do you have a passion for ensuring accurate and compliant medical coding practices? If so, we encourage you to apply for the Experienced Full Stack RADV Certified Coder position at Cherokee Nation Businesses.About the Company:
Cherokee Nation Businesses is a tribally owned federal contracting company that provides support, services, and solutions to federal and commercial customers. Our team takes a personalized approach to solving our clients' toughest challenges, helping you make the most of your skills. As a company, we are committed to excellence, innovation, and community involvement.About the Job:
As a RADV Certified Coder, you will play a critical role in ensuring the accuracy and compliance of medical coding practices for our clients. You will be responsible for conducting medical coding abstraction, medical record review, and risk adjustment data validation, while maintaining a high level of quality and productivity. If you are a motivated and detail-oriented individual with a passion for medical coding, we encourage you to apply for this exciting opportunity.Key Responsibilities:
- Conduct medical coding abstraction and medical record review to ensure accurate and compliant coding practices
- Provide secondary review and quality assurance of medical coding intake and abstraction
- Utilize technical coding principles and APC reimbursement expertise to assign appropriate diagnoses and/or procedures
- Ensure optimal reimbursement of all cases in compliance with CMS policies and procedures and Official Coding Guidelines
- Keep abreast of coding guidelines and reimbursement reporting requirements
- Ensure production and quality expectations are met
- Communicate professionally and effectively with physicians and staff
- Perform accurate chart reviews and assigns appropriate ICD-9 and ICD-10 CM codes based on documentation in chart
- Identify and report issues or errors, such as incomplete or missing records and documentation, ambiguous or nonspecific documentation, or codes that do not conform to approved coding guidelines
- Maintain a consistent daily production of greater than 30-50 reviews per day
- Maintain a 95% or greater accuracy rate
- Demonstrate the ability to appropriately use coding principles to code to the highest specificity and complies with CMS regulations and company goals and policies
- Reports operational concerns to manager for Quality Improvement of daily processes
- Demonstrate knowledge of various document types - e.g. paper records and electronic records
- Perform other job-related duties as assigned
Senior Coder Experience, Education, Skills, Abilities:
- Must have Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT), or Certified Coding Specialist (CCS)
- HCC Certified Coder preferred
- Associate degree preferred
- Minimum of two years' experience in medical record intake, abstraction, and review leveraging ICD-9 and/or 10 standards for inpatient and outpatient settings
- Understands and adheres to HIPPA requirements
- Maintains professional certification
- Knowledge of CMS CDAT-M systems is preferred
- Excellent organization and time management skills along with excellent oral and written communication skills
- Ability to learn quickly, build and maintain long term relationships and work with minimal supervision
- Ability to work well with others with diverse backgrounds and at various organizational levels
- Ability to work well within a team
- Consistently reliable and available given remote nature of work
- Has sufficient internet services to meet all requirements
- Must have no conflict of interest (COI) as defined in 1154(b)(1) of the Social Security Act (SSA)
- Ability to obtain and maintain U.S. Government Security Clearance
- Demonstrated commitment to continuous learning and keeping up-to-date with the latest programming languages, frameworks, tools, and industry trends
- Ability to lead and mentor other coders, providing guidance, code reviews, and promoting coding best practices within a team or organization
- Strong interpersonal and communication skills to effectively collaborate with cross-functional teams, understand requirements, and articulate technical concepts to both technical and non-technical stakeholders
- Ability to adapt to changing technologies, methodologies, and project requirements, while maintaining a focus on delivering high-quality software solutions
- Strong attention to detail to ensure code correctness, maintainability, and adherence to coding standards and software specifications
- Effective time management skills to prioritize tasks, manage workloads, and meet project deadlines in a fast-paced development environment