AZ Blue is a health insurance organization focused on helping Arizonans get healthier faster and stay healthier longer. The company offers a hybrid workforce model called Workability, with roles classified as hybrid, onsite, or remote.
This position is a remote work opportunity requiring residency and work to be performed within the State of Arizona.
The role supports risk adjustment by reviewing medical records, abstracting diagnoses to the highest level of specificity, and ensuring accurate ICD-9/ICD-10 coding for CMS reporting.
Requirements & Qualifications
Required experience
- 3 years of coding experience
Required education
- High School Diploma or GED
Required certifications
- CPC, CPC-I, COC, CRC, CCS, CCS-P, CPMA, or RHIT
Preferred experience
- 3 years of coding experience with clinical and HCC experience
Preferred education
- Clinical training such as Medical Assistant, Registered Nurse, Licensed Practical Nurse, or Certified Nursing Assistant
Required skills and knowledge
- Strong understanding of coding guidelines, rules, regulations, and methodology
- Ability to conduct medical record review and data abstraction accurately and efficiently
- Knowledge of anatomy and physiology, major disease processes, and pharmacology
- Understanding of etiology, pathology, signs and symptoms, diagnostic studies, and treatment modalities
- Knowledge of CMS and commercial health plans
- Strong knowledge of HEDIS measures and risk adjustment/HCC coding
- Familiarity with ICD-9 and ICD-10 coding conventions and guidelines
- Strong oral and written communication skills
- Ability to communicate effectively with staff, customers, and management at all levels
- Commitment to HIPAA and patient confidentiality requirements
- Ability to maintain 95% or better coding accuracy in QA audits
Location
Phoenix, Arizona, US
Employment Type
Full-time
Experience Level
Intermediate Level
Remote work allowed
Yes
Posted
1 week ago