Medical Coder

Assigns diagnosis codes according to the Official ICD-10-CM Guidelines for Coding and Reports for conditions which map to the Center for Medicare & Medicaid Services' Hierarchical Condition Categories (CMS-HCC) applicable for the year(s) of service being reviewed.Conducts thorough review of charts by effectively using computer-assisted coding tools to review and interpret medical records and applies in-depth knowledge of coding principles to assign valid diagnosis codes which are supported by evidence in the medical record on the same date of service.Demonstrates knowledge of what constitutes a medical record acceptable for supporting CMS-HCCs, including signature guidelines, member identifiers, provider types, medical record encounter/visit types, and places of service.Demonstrates advanced knowledge of medical terminology, anatomy and physiology as they pertain to assigning appropriate codes and identifying pertinent supporting information in the medical record.Manages individual quality of work & productivity toward meeting or exceeding targets.Consults Team Lead/Operations Manager and/or Coding SME timely and appropriately.