Axelon

Summary This position is accountable for accurately reviewing, interpreting, auditing, coding, and analyzing medical record documentation for diagnosis accuracy, correct documentation, and Hierarchical Coding Condition (HCC) abstraction. Review may include inpatient, outpatient treatment, and/or professional medical services, according to ICD-9/ICD-10 CM coding guidelines and risk adjustment model regulations. This position supports Annual Commercial (ACA) and Medicare Advantage Risk Adjustment Data Validation Audits (RADV) along with the annual Risk Adjustment life cycle for the Medicare, Medicaid, and Commercial lines of business. Responsibilities Understand and translate CPT, HCPC, ICD-9/ICD-10 codes for HCC abstraction. Review medical records for completeness, accuracy, and compliance with applicable coding guidelines and regulations. Identify, compile, and code member/patient data using ICD-9/ICD-10-CM and other standard classification coding systems. Support the...

Axelon Services Corporation is seeking a skilled medical coder in Newark, NJ. This role involves reviewing and analyzing medical record documentation for accuracy and compliance with ICD-9/ICD-10 guidelines. Applicants should possess RHIT certification or similar credentials along with at least two years of experience in medical coding. Strong knowledge of coding systems and excellent communication skills are essential. Join a team focused on continuous improvement and quality assurance in healthcare documentation. #J-18808-Ljbffr