Employer Industry: Health Insurance

Why consider this job opportunity:
- Competitive salary with opportunities for professional and financial growth
- Potential for incentive payments based on employee and company performance
- Comprehensive benefits package, including award-winning health care coverage and generous paid time off
- Flexible work environment that supports remote work
- Chance to make a meaningful impact in the health insurance industry
- Supportive corporate culture that values diversity, equity, and inclusion

What to Expect (Job Responsibilities):
- Conduct chart reviews and accurately code ICD-10 diagnoses for risk adjustment eligible members
- Retrieve medical records and participate in occasional diagnosis code projects
- Apply knowledge of medical terminology, anatomy, and medical chart review to ensure accurate coding
- Maintain compliance with HIPAA requirements and ensure confidentiality of patient health information
- Collaborate with internal and external stakeholders to provide excellent customer service

What is Required (Qualifications):
- High school diploma or GED required; Associate’s degree preferred
- CCS/CCS-P (Certified Coding Specialist) or CPC/CPC-A (Certified Coding Professional) certification required
- Minimum one (1) year of experience in an HMO, Managed Care Organization, or health care setting
- Strong knowledge of ICD-10 diagnosis and procedure codes, CPT codes, Revenue codes, and HCPCS codes
- Experience with Microsoft Office applications, including Word, Excel, Outlook, and PowerPoint

How to Stand Out (Preferred Qualifications):
- CRC (Certified Risk Adjustment Coder) credential preferred
- Knowledge of chronic conditions and experience in claims adjudication, billing, and enrollment systems
- Experience with Clinical Documentation Improvement
- Demonstrated ability to research and apply CMS and State coding guidelines
- Proven track record of success working remotely without direct supervision

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We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer."