WellCare provides managed care services, focusing on Medicaid and Medicare for seniors, the blind and disabled, and low-income adults, children and families. 

Codes, abstracts and analyzes inpatient and/or outpatient medical records using International Classification of Diseases, Ninth Revision (ICD-9) for CMS risk adjustment purposes.  If you are interested in this opportunity, please apply by clicking  the link: https://jobs.wellcare.com/us/en-us/Job-Details/Medical-Coding-Specialist-Job/Corporate-HQ-Tampa/XjdP-jf966-ct105515-jid79144378 
 

• Codes, abstracts and analyzes inpatient and/or outpatient medical records using International Classification of Diseases, Ninth Revision (ICD-9). Always coding to the highest level of specificity.
• Follows the Official ICD-9 guidelines for Coding and Reporting and has a complete understanding of these guidelines.
• Follows CMS risk adjustment guidelines and has a complete understanding of these guidelines.
• Understands the impact of ICD-9 codes on the CMS HCC risk adjustment model.
• Ability to meet productivity and accuracy standards
• Ability to defend coding decisions to both internal and external audits.
• Performs other duties as assigned.

Education

High School or GED or equivalent work experience - Required

Bachelor's Degree in a related field - Preferred

Work Experience

2+ years of experience in: professional coding experience either in a hospital or physician setting - Required

Healthcare industry experience - preferred

Licenses/Certifications

Certified Professional Coder (CPC) - required

Certified Coding Specialist (CCS) - preferred

• Demonstrated interpersonal/verbal communication skills
• Demonstrated written communication skills
• Ability to work as part of a team
• Knowledge of medical terminology and/or experience with CPT and ICD-9 coding
• Ability to work independently
• Working knowledge of CMS risk adjustment model