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 total rewards package, including award-winning health care coverage and generous paid time off
- Flexible work environment with the option to work remotely
- Supportive corporate culture that values diversity, equity, and inclusion

What to Expect (Job Responsibilities):
- Conduct chart reviews and ICD-10 diagnosis coding for risk adjustment eligible members
- Identify accurate ICD-10 diagnosis codes through medical record review
- Perform chart retrieval activities and participate in occasional diagnosis code projects
- Ensure compliance with HIPAA requirements while handling 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 or CPC/CPC-A certification required; CCA or RN/LPN licensure must lead to certification within one year of employment
- Minimum one year of experience in an HMO, Managed Care Organization, or health care setting required
- Strong knowledge of medical terminology, anatomy, physiology, and medical chart review required
- Proficiency in 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 preferred
- Experience with clinical documentation improvement preferred
- Experience in claims adjudication, billing, and enrollment systems preferred
- Ability to work effectively in a fast-paced, changing environment

#HealthInsurance #CodingSpecialist #RemoteWork #CareerGrowth #DiversityAndInclusion

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