Your Daily Mission The Risk Adjustment Coder with AHIMA or AAPC certification performs medical record diagnosis code abstraction based upon clinical documentation, ICD-10-CM Official Guidelines for Coding and Reporting, AHA Coding Clinic Guidance, CMS program guidance, and in accordance with all state regulations, federal regulations, internal policies, and internal procedures. The Risk Adjustment Coder will apply guidance provided for the medical record code abstraction primarily for Medicaid lines of business (Complete Code Capture), but may also include Medicare Advantage Risk Adjustment or Commercial Risk Adjustment. Certified through AHIMA or AAPC required.(CRC, CPC, CCS, CCS-P Certification Required) Who You Are Minimum of 3 years certified with a core coding credential from AHIMA or AAPCMust be one of the following (CRC, CPC, CCS, CCS-P)Experience and proficiency working with Medicaid plans 1+ yearsStrong organizational skillsTechnical savvy with high level of competence in basic computers, Microsoft Outlook, Word, and ExcelStrong written and verbal communication skillsAbility to work independently in a remote environmentMinimum of 1 recent year of production coding experience in Retrospective Risk Adjustment coding (must be within last 6 months)Required code set knowledge and coding experience in Medicaid (primary), Medicare, and Commercial benefit plansMinimum of 1 year coding experience with Complete Code Capture The Reality of the Role Perform code abstraction of medical records to ensure ICD-10-CM codes are accurately assigned and supported by clinical documentationIdentify diagnosis and chart level impairments and documentation improvement opportunities for provider educationMaintain current knowledge of ICD-10-CM codes, CMS documentation requirements, and state and federal regulationsAbility to pass coding quiz with 80% accuracyConsistently maintain a minimum 95% accuracy on coding quality auditsMeet minimum productivity requirements as outlined by the project termsAbility to adhere to client guidelines when superseding other guidelinesAssist coding leadership by making recommendations for process improvements to further enhance coding goals and outcomesHandle other related duties as required or assigned