Certified Clinical Coder

To support clinical integration efforts, the full-time Certified Clinical Coder will conduct outpatient medical record reviews using ICD-10-CM and CPT coding, ensuring accurate assignment of diagnoses and procedures while working remotely. Key responsibilities Review outpatient medical records for accurate coding and compliance with CMS guidelines Perform pre-appointment reviews to identify potential clinical conditions for physician follow-up Support risk adjustment code validation for CMS and HHS Risk Adjustment models Required qualifications High School Diploma or GED Certification as a CRC, CPC, or other relevant coding certification One year of experience with CMS-HCC and HHS-HCC risk adjustment coding Advanced knowledge of ICD-10 coding conventions and Medicare Advantage requirements Proficiency in using coding software and reference materials