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Moda Health HCC Coding Intern, CPC-A in Portland, Oregon

HCC Coding Intern, CPC-A

Job Title

HCC Coding Intern, CPC-A

Duration

Open Until Filled

Location

Portland,

OR

97204

Other Location

Underwriting/Actuarial; Job Class: Internship

Description

Let’s do great things, together

Founded in Oregon in 1955, Moda is proud to be a company of real people committed to quality. Today, like then, we’re focused on building a better future for healthcare. That starts by offering outstanding coverage to our members, compassionate support to our community and comprehensive benefits to our employees. It keeps going by connecting with neighbors to create healthy spaces and places, together.

Moda values diversity and inclusion in our workplace. We aim to demonstrate our commitment to diversity through all our business practices and invite applications from candidates that share our commitment to this diversity. Our diverse experiences and perspectives help us become a stronger organization. Let’s be better together.Moda Health is seeking HCC Coding Interns to join our Underwriting/Actuarial team. This position will support the Risk Adjustment Process Team’s efforts to ensure accuracy and identify and mitigate any risks. The coder will gain experience in validating diagnosis coding (ICD-10-CM) for accuracy by review of medical records and claims data. As needed, this position will assist with the record retrieval process.Primary Functions:01. Develop knowledge of HCC coding for both Commercial ACA and Medicare Advantage, including regulatory processes/rules.02. Perform chart reviews to determine the completeness of the data, documentation, and coding.03. Process incoming records according to specifications and established procedures.04. Troubleshoot issues related to medical record reviews and maintain detailed logs of issues encountered and steps to resolution.05. Assist in the development of action plans and training material that may include workflows, education, policies, and system enhancement to promote enhanced learning and compliance.06. Performs other duties as assigned.

Are you ready to be a betterist?

If you’re ready to make a difference that matters, we want to hear from you. Because it’s time to discover what’s possible.

Together, we can be more. We can be better.

Moda Health seeks to allow equal employment opportunities for all qualified persons without regard to race, religion, color, age, sex, sexual orientation, national origin, marital status, disability, veteran status or any other status protected by law.

Required Skills

  1. High School diploma or GED required, Bachelor’s degree preferred, or pursuing Bachelor’s degree.

  2. Current Coding Certification (CPC-A, CPC, CCA, CCS) through AAPC, AHIMA or other official coding organization.

  3. Interest in risk adjustment coding, specifically diagnosis (ICD-10-CM) coding.

  4. Excellent organizational skills required.

  5. Strong verbal, written and interpersonal communication skills.

  6. Proficient in Microsoft Office applications, specifically Outlook, Excel, and Teams.

  7. Ability to project a professional image and maintain complete confidentiality.

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