A global health insurance provider whose mission is to improve the health, well-being, and peace of mind of those the company serves. Become a part of this ever-growing, deeply caring, and collaborative healthcare industry leader today!
Description:
The primary job function of the Coding Quality Review is to review the work completed by Health Assessment Providers for the accuracy of medical records and make recommendations to healthcare providers according to the ICD10-CM HCC’s guidelines.
Responsibilities:
Make sure all documentation for completed assessments has been
received
Review each HRA template and the master document for coding accuracy
Maintain coding certification current
Delivers professional activities related to quality review
Provides standard professional advice and creates initial reports/analyses for review
Assists with third-party audits by completing questionnaires, validating selected claims, responding to error
Identifies and recommends changes to improvements in department processing and procedures, and assists in the development of audit guidelines
Acts as subject matter expert and a resource for healthcare providers
Develops and/or recommend training programs to address error trends
Review assessments for accuracy and assign ICD 10 –CM/HCC’s guideline
Send completed exam to corresponding vendor/client
Maintains productivity between 25-30 charts reviewed daily
Maintains coding accuracy of 95% on a monthly basis
Communicates with providers on documentation related issues
Communicates with Coding Director
Maintains current their coding certification
Explore new certifications as required by the organization
Participates in coding trainings, conferences as offered by the organization
Completes additional projects as distributed to the coding team
Helps with any additional requests from Medical Directors, and Coding Director
Department: Assessments
Competencies
Problem Solving
Time Management
Team Work
Quality Management
Organization Support
Dependability
Quality
Quantity
Technical Skills
Certifications:
HIPAA Certified
CPC certificate or corresponding certificate from a reputable coding organization –AAPC, AHIMA
ICD-10 Certified
CRC certification a plus
Work Environment
Work setting is primarily work at home setting with requirements of sitting with some standing involved.
Knowledge, Skills & Abilities:
Certified Professional Coder with AAPC/AHIMA
ICD-10 Certified
Excel proficiency
Coding experience at least 2 years
High school diploma or general education (GED)
Ability to read and comprehend simple instructions, short correspondence and memos
Ability to write simple correspondence
Ability to apply common sense understanding to carry out detailed but uninvolved written or oral instructions
Strong knowledge of Epic and Rounding well EMR systems
Experience in Microsoft products such as Word, Excel, Outlook, Internet Explorer
Certifications & Licenses:
Certified Medical Coder
Certified Professional Coder
HIPAA
HIPAA Certified
ICD-10 Certified
Minimum Degree Required:
Completed High School (Diploma or GED)
Languages:
English - Read Write Speak
Should you accept an offer for a contract opportunity with our client, the following pre-employment items will be required: 7-year criminal background check, which will include verifying your highest level of education completed and your employment history for the last 7 years, and a urine drug test analysis (does not look for marijuana/THC). You may be required to provide documentation (copy of your diploma or licenses, W2's or Pay stubs) to help us verify this information.
Salary.com Estimation for Medical Records Coder in Elkins, PA
$58,546 to $74,360
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