Green Key Resources

Green Key Resources seeks a Coder/CDI Specialist focused on Medicare members to lead risk adjustment coding quality and education. The role requires expertise in HCC, RAF methodology, and CMS risk guidance, with the ability to mentor the coding team and coordinate with providers on documentation gaps. The successful candidate will audit outputs, conduct second-level reviews, and drive solutions to improve accuracy and utilization, while acting as a senior-level resource for complex coding #J-18808-Ljbffr

A small managed care company is looking for a Coder/CDI Specialist to focus on Medicare members. Risk adjustment coding professional who has strong knowledge of HCC, RAF methodology, and CMS risk adjustment guidelines and is comfortable serving as a senior-level resource for coding quality and provider education. Key Responsibilities Audit and perform QC of coding team output for accuracy and compliance with HCC/ICD-10-CM guidelines Conduct second-level reviews and serve as an escalation point for complex charts and coding questions Identify documentation gaps and communicate directly with providers regarding documentation queries Educate physicians and clinical teams on documentation practices that support accurate risk adjustment coding Track coding errors, trends, and quality patterns and report findings Identify opportunities related to over/under-utilization and collaborate with teams and provider groups on solutions Support development of processes around right-coding,...

Green Key Resources is seeking an experienced Urology Coder for a part-time, temporary remote position. Primary duties include coding and reimbursement support with a CPC certification and strong CPT knowledge. The assignment runs through year-end and pays $40/hour, with an estimated 19 hours per week. The role requires research into coding guidelines, payer policies, and reimbursement trends, plus providing technical guidance on urology coding and related initiatives. #J-18808-Ljbffr