Insight Global
Miami, FL
Required Skills & Experience
• Certified coder (CPC, CCS, CRC, CCA, or equivalent certification)
• Strong ICD-10-CM coding experience and medical record review background
• Knowledge of Risk Adjustment and HCC coding methodologies
• Experience reviewing physician documentation and assigning accurate diagnosis codes
• Strong understanding of medical terminology, anatomy, physiology, and disease processes
• Ability to interpret complex clinical documentation with high accuracy and productivity
• Familiarity with CMS guidelines and Medicare Advantage requirements
Nice to Have Skills & Experience
• Medicare Advantage Risk Adjustment experience
• Experience working with CMS-HCC models
• CRC (Certified Risk Adjustment Coder) certification
• Experience with EMRs and coding software platforms
• Background in a health plan, physician practice, hospital, or revenue cycle environment
• Audit and quality assurance experience
Job Description
Insight Global is seeking Medical Coders...