Coder

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Coder

Contract: Newark, New Jersey, US

Salary: $38.00 Per Hour

Job Code: 349072

End Date: 2024-06-08
Days Left: 20 days, 3 hours left

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Detailed Job Description:

Title:

Professional Coder

Location:

Newark NJ 07105 (100% Remote)

Duration:

06 Months

Responsibilities: •Compile chart review findings statistics, analyze data results and implement meaningful action plans that improve providers' performance levels
•Education new staff to produce and maintain high quality data abstraction and chart reviews
•Develop quality assurance processes to ensure data integrity of all submitted diagnoses to regulatory agencies and key stakeholders
•Evaluate and improve the effectiveness of risk adjustment coding programs, policies & procedures and work flow
•Work closely with inter-departmental team management to support coding initiatives related to risk adjustment programs
•As a Subject Matter Expert, this person will support risk adjustment coding initiatives to identify opportunities to enhance and grow business
•Responsible for educating and keeping management informed on current changes in regulations/guidance related to ICD-10 coding and quality documentation and reporting
•Interface with operations and clinical leadership to assist in identification of coding & documentation improvements and promote best practices
•Conduct mock audits or surveillance activities that target problematic diagnoses as identified by CMS and internal stakeholders
•Can understand and translate CPT, HCPC, ICD-9/ICD-10 codes for HCC abstraction.
•Review medical records for completeness, accuracy and compliance with applicable coding guidelines and regulations.
•Maintains department productivity and accuracy standards.

Qualifications:

•Requires current Registered Health Information Technologies (RHIT) or Certified Professional Coder designation from the American Academy of Professional Coder s or a Certified Coding Specialist , P from the American Health Information Management (AHIMA)
•Requires 5+ years of Medical Coding experience
•Requires a minimum of 5+ years' experience in Health Insurance/quality chart audits and/or Utilization Review

•Bachelor's degree required

Knowledge

• Requires proficiency in the CPT-4, HCPC, ICD-9/ICD-10 coding
• Requires knowledge of medical terminology of medical procedures, abbreviations and terms
• Requires knowledge of the health care delivery system

Skills and Abilities

• Requires the ability to utilize a personal computer and applicable software (e.g. proficiency in Word and Excel)
• Must have effective verbal and written communication skills and demonstrate the ability to work well within a team
• Must demonstrate professionaland ethical business practices, adherence to company standards and a commitment to personal and professional development
• Proven ability to exercise sound judgment and problem solving skillsProven ability to ask probing questions and obtain thorough and relevant information

Job Requirement

• CPT-4
• HCPC
• Risk Adjustment
• ICD-9/ICD-10 coding
• Medical Coding

Reach Out to a Recruiter

• Recruiter
• Email
• Phone
• Amey Yelure
• amey.yelure@collabera.com
• 9738412262

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