Risk Adjustment Medical Coder Job in Meridian, Idaho

Blue Cross of Idaho is looking for an individual who will be responsible for the medical record retrieval and over-reads for audit project activities as they relate to risk adjustment and revenue accuracy. Collaborate and support cross-functional teams needed for various risk adjustment program efforts to ensure coding, documentation, and reporting accuracy.

This opportunity is located at our Meridian, ID corporate headquarter.

QUALIFICATIONS: (Minimum qualifications required for the job)

• Experience: Three years’ in health industry to include medical record coding
• License/Certifications:
• Certified Professional Coder (CPC)
• Certified Risk Adjustment Coder (CRC) or must obtain within one year

Knowledge, Skills and Abilities (KSAs):

Knowledge of:

• Healthcare and/or health insurance industry
• Billing/Claims submission
• HIPPA guidelines
• Medical terminology and abbreviations, anatomy, physiology, pathological process of diseases and basic pharmacological concepts
• Electronic Medical Record (EMR) applications and contents
• Standards of ethical coding as set forth by the American Academy of Professional Coders (AAPC)

Skills:

• Creative, critical, and analytical thinking skills with a strong attention to detail
• Strong interpersonal skills
• Strong verbal and written communication, including presentation preparation/development
• Communicate effectively and professionally with all levels of professionals both within the organization and with external organizations
• Microsoft Office (Word, Excel, PowerPoint)
• Proficient coding (ICD, CPT, and HCPCS) both professional and institutional
• Task and results oriented
• Self-motivated to request or tackle additional work
• Proven track record of coding accuracy

Ability to:

• Follow verbal instructions and written policies and procedures
• Work with and support cross-functional teams in a fast-paced environment
• Learn quickly and stay on task through completion of assigned duties.
• Team Player

Preferred Qualifications:

• Associate Degree
• ICD-9-CM/ICD-20-C and HCPS code sets
• Experience in health insurance industry