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Medical Coder

CareBridge

CareBridge

Software Engineering
Remote
Posted on Nov 11, 2023

CareBridge 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.