Mar 10, 2026
Certified Medical Coder
- Apex Health Solutions
- Houston, TX, United States
Job Description
Description
Summary
Certified Medical Coder role is responsible for reviewing, abstracting, and coding inpatient and/or outpatient medical records to ensure proper ICD-10-CM, HCPCS, and CPT coding and compliance with Risk Adjustment requirements.
Key Responsibilities
Qualifications
Summary
Certified Medical Coder role is responsible for reviewing, abstracting, and coding inpatient and/or outpatient medical records to ensure proper ICD-10-CM, HCPCS, and CPT coding and compliance with Risk Adjustment requirements.
Key Responsibilities
- Follows CMS Risk Adjustment guidelines and has a complete understanding of their real-world application
- Reviews submitted medical records to identify ICD-10-CM diagnoses, ensuring the documentation meets all CMS standard requirements for valid submission
- Codes all diagnoses and services accurately and completely, from the medical record in accordance with the ICD-10-CM coding classification system
- Selects and accurately records all appropriate records and data on assigned chart abstraction projects
- Ability to meet productivity and accuracy requirements
- Performs other duties as assigned
Qualifications
- High School Diploma or GED required
- A certification in one of the following is required:
- Certified Professional Coder (CPC)
- Certified Risk Adjustment Coder (CRC)
- Certified Coding Specialist (CCS)
- Registered Health Information Technician (RHIT)
- Registered Health Information Administrator (RHIA)
- Minimum of three (3) years HCC experience performing concurrent and retrospective risk adjustment chart reviews required
- Current AAPC or AHIMA credential required
- Risk Adjustment / HCC knowledge required
- Managed Care experience preferred
About Apex Health Solutions