Certified Risk Adjustment Coding Specialist

About the role

Rendr is the leading primary care focused, multi-specialty medical group dedicated to serving the Asian community in New York City. We strive to provide world-class, value-based health care with kindness at more than 100 clinical offices throughout Brooklyn, Manhattan, Queens, Staten Island, and Nassau County. Opportunities for professional growth and development. Join a team that values employees, embraces diversity, and is committed to making a meaningful impact within our communities. A Certified Risk Adjustment Coder works to improve the quality of coding documentation and data in the HCC database. This position collaborates in providing expertise in the use and application of coding classification such as ICD-10‑CM.

Responsibilities

• Review medical record information on a concurrent basis to identify, assess, monitor and document claims and encounter coding information as it pertains to Hierarchical Condition Categories (HCC)
• Assign appropriate ICD-10‑CM codes and mapping to risk adjustment models
• Comply with HIPAA laws and regulations
• Remain current on diagnosis coding guidelines and risk adjustment reimbursement reporting requirements
• Participate in quality improvement initiatives
• Perform related work and projects as required
• Perform other duties as assigned
• Work with manager to identify, develop and implement strategies for quality improvement

Requirements

• High school diploma or equivalent required
• Active certified coder certification (CRC, CPC, CCS‑P) through AHIMA or AAPC
• At least two years of risk adjustment coding experience

Skills

• Advanced knowledge of medical codes, terminology, abbreviations, anatomy & physiology, major disease, pharmacology and metric system
• Excellent understanding of ICD-10‑CM coding classification and guidelines
• Excellent understanding of CPT, HCPCS, and modifier coding and guidelines

Benefits

• Medical, Dental, and Vision Insurance
• 401k with Company Match
• Paid Time Off
• Paid Holidays / Floating Holiday(s)
• Commuter Benefits
• Health Sav