Summit Medical Group is seeking a PreVisit Planning Coder to join their team in Knoxville, TN. This is a full-time onsite role focused on pre-visit chart review, coding accuracy, risk adjustment, and quality measure support.
The position involves reviewing medical records, progress notes, diagnosis documentation, and CPT/ICD-10 coding to support accurate problem lists, improve documentation quality, and ensure compliance with coding rules and regulatory requirements. The coder will also help identify care gaps, communicate findings to providers, support HEDIS and CMS Stars quality measures, and assist with risk adjustment and HCC coding activities.
Qualifications
- Associate degree required; bachelor's degree preferred
- Coursework in ICD-9-CM, ICD-10-CM, CPT coding, anatomy and physiology, and medical terminology
- Current credential in one of the following: RHIA, RHIT, CCS, CCS-P, CPC, CPC-H, or CRC
- If not CRC certified, certification must be obtained within the first year of employment
- AHIMA/AAPC certification must be maintained through continuing education requirements
- Proficient computer skills
- Ability to interpret, analyze, and abstract data and documentation
- Strong problem-solving, time management, and organizational skills
- Self-motivated and able to work independently
Preferred Experience
- 2–5 years of coding experience with ICD-10 and CPT conventions
- Risk adjustment and HCC coding experience
- Familiarity with CMS Medicare Advantage Risk Adjustment Data Validation (RADV)
- Prior medical chart auditing and quality reporting experience
- Managed care experience
- Knowledge of health plan risk adjustment processes and systems
- Clinical experience is beneficial
Location
Tennessee, US
Employment Type
Full-time
Experience Level
Intermediate Level
Remote work allowed
No
Posted
2 months ago