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Medical Coding and Compliance Specialist

2 months ago

Scottsdale, Arizona, United States Optima Medical Full time
Job Description

Optima Medical is a leading healthcare organization seeking a skilled Risk Adjustment Coder Specialist to join our team.

About Optima Medical

We are a dynamic and growing medical group with 22 locations and 90+ medical providers, serving over 120,000 patients statewide. Our mission is to improve the quality of life throughout Arizona by providing personalized healthcare services, with a focus on preventing the nation's top leading causes of death.

Job Responsibilities

  • Perform accurate and timely code abstraction of medical records, diagnostic imaging, and other relevant data to ensure ICD-10-CM codes are correctly assigned and supported by clinical documentation.
  • Identify diagnosis and chart-level impairments and documentation improvement opportunities for provider education and training.
  • Assist in making recommendations for process improvements to enhance coding goals and outcomes.
  • Maintain current knowledge of ICD-10-CM codes, CMS documentation requirements, and state and federal regulations.
  • Meet minimum productivity requirements as outlined by the project terms.
  • Perform other related duties as required or assigned.

Job Qualifications

  • Minimum 1 year of coding experience in Risk Adjustment.
  • Ability to consistently maintain a high level of accuracy working in a fast-paced production environment.
  • High school diploma or equivalent.
  • Must live in Arizona.
  • High level of competency in Microsoft Outlook, Word, and Excel.
  • Strong written and verbal communication skills.
  • Works independently under regular supervision.
  • Must have a coding certification through AAPC or AHIMA (CPC, CRC, etc.), NO CPC-A or CCA.

Why Optima Medical?

  • Substantial growth opportunities.
  • Leadership and mentoring.
  • Fun work environment.
  • Benefits (medical/vision/dental/401k/paid holidays).
  • Supportive and positive work environment.