Reviews medical record via EMR to verify the appropriateness of the diagnosis and procedural codes. Captures all quality indicators (HEDIS) and Medicare Risk Adjustments (MRA). Analyzes MRA reports to identify and confirm unreported and/or unresolved medical conditions of members based on supportive medical documentation.
Requires experienced certified medical coder with Medicare Risk Adjustment (MRA) and HEDIS experience. The MRA Coder position is in-house (not remote).
Requires strong knowledge of MRA coding. Knowledge of Medicare guidelines, rules and regulations. Must be fluent in English.
- CPC, CRC
- 2 years of HCC coding experience
- Strong collaboration and relationship building skills
- Excellent written verbal and written communication skills