Mindlance

Job Description Position Purpose: This position is responsible for ongoing risk adjustment improvement activities. Under general supervision, this position includes ongoing quality improvement activities to ensure the organizations Risk Adjustment programs are implemented and meet all government requirements. Nature and Scope: This role does not manage people.

Position Purpose: Codes, abstracts and analyzes inpatient and/or outpatient medical records using the most current International Classification of Diseases, Ninth Revision (ICD-9) for CMS risk adjustment purposes. Education/Experience: Required A High School or GED Preferred A Bachelor's Degree in a related field Candidate Experience: Required 2+ years of experience in professional coding experience either in a hospital or physician setting Preferred Other Healthcare industry experience Licenses and Certifications: A license in one of the following is required: Required Certified Professional Coder (CPC) Preferred Certified Coding Specialist (CCS) Codes, abstracts and analyzes inpatient and/or outpatient medical records using International Classification of Diseases, Ninth Revision (ICD-9). Always coding to the highest level of specificity. Follows the Official ICD-9 guidelines for Coding and Reporting and has a complete understanding of these guidelines....

Job Description: Job Description POSITION PURPOSE This position is responsible for ongoing risk adjustment improvement activities Under general supervision this position includes ongoing quality improvement activities to ensure the organization's Risk Adjustment programs are implemented and meet all government requirements. NATURE AND SCOPE This role does not manage people This job reports to: Departmental Leadership Necessary Contacts: In order to effectively fulfill this position, the incumbent must be in contact with: All levels of BCBSLA personnel; physicians and their office personnel; hospitals and allied health provider administration, personnel and third-party medical record vendors; other Blue Plans; Client Association and contracted vendors. QUALIFICATIONS Education High School Diploma or GED required Work Experience 3 years of medical coding experience required with experience in risk adjustment preferred 1 year medical coding audit experience preferred...