Medical Coder

Medical Coder

Job Summary:

The CareBridge Medical Coder reviews all provider visit medical encounters for dual members and applies the most accurate diagnosis codes (ICD-10 codes).  The Medical Coder serves as a resource and subject matter expert in the CMS Risk Adjustment Model.  Additionally, the Medical Coder may identify missed opportunities to capture appropriate diagnosis codes.

Responsibilities:

• Runs a billing report in EMR for all providers to identify completed and signed notes
• Reviews all medical documentation for completed visit notes as well as patient profile information (problem list, medications, allergies, etc) in EMR for each member
• Assigns the appropriate ICD-10 code for each diagnosis
• Provides feedback to the provider on opportunities for improved documentation to support specific codes

Qualifications:

• Certification as a Medical Coder
• AAPC Certified Risk Adjustment Coder (CRC™) is preferred
• At least 2 years' experience in applying appropriate diagnosis in the Medicare HCC model
• Expertise with the most current CMS Risk Adjustment Model

Those who thrive at CareBridge tend to possess these qualities:

• An entrepreneurial spirit. Must be a tenacious self-starter
• Flexible and adaptable to a constantly changing workload
• Must enjoy working in a fast-paced environment
• A sense of humor and a down-to-earth nature

Location:  Remote

CareBridge is a provider of technology and services that assist payers and states in caring for patients receiving long-term support services. CareBridge’s services include electronic visit verification (EVV), data aggregation, 24/7-member support, and benefit management. CareBridge is led by a team of healthcare service and technology veterans and is headquartered in East Nashville.