Mindlance

CW Risk Adjustment Coder Position Summary Experienced Risk Adjustment Coder with a strong background in Medicare Advantage Risk Adjustment coding and ACA Risk Adjustment coding. This position supports ongoing risk adjustment initiatives through accurate coding, medical record review, documentation validation, and quality assurance activities. The coder will help ensure compliance with CMS and other regulatory requirements while supporting the organization's risk adjustment accuracy and revenue integrity goals. Candidates should have demonstrated experience with CMS-HCC coding methodologies, medical record review, and risk adjustment documentation validation. This position works under general supervision and does not have direct supervisory responsibilities. Key Responsibilities: Review and assess medical record documentation and accurately assign ICD-10-CM diagnosis codes for Medicare Advantage and ACA Risk Adjustment programs. Perform retrospective and prospective coding...

Mindlance is a national recruiting company which partners with many of the leading employers across the country. Feel free to check us out at www.mindlance.com. Job Description Business Medical Coder Location: 5775 Blue Lagoon Dr., Miami, FL 33126 Contract: 3 Months Qualifications Role Review of denial on adjudicated claim that is classified as a code edit denial. Request and review supporting documentation (medical records) when needed. Once review is complete contact provider by phone to provide rationale as to whether we will overturn (pay) the denial or if it is upheld. Qualifications CPC-A with coding experience Knowledge/experience of CPT, ICD-9, and ICD-10 coding Comfortable with making outbound calls to provider offices If you are available and interested then please reply me with your “Chronological Resume” and call me on (678)-405-3590. Additional Information Thanks & Regards, #J-18808-Ljbffr

A national recruiting company is seeking a Business Medical Coder in Miami. The role involves reviewing coded claims, requesting medical documentation, and communicating with providers about claim denials. Applicants should have coding experience, specifically CPC-A certification along with knowledge of CPT, ICD-9, and ICD-10. This contract position lasts for 3 months and requires comfort in making outbound calls to provider offices. #J-18808-Ljbffr