Medical Coder

Job Title : Medical Coder

Location : Remote

Duration : 6 Months+

Job Description :

Monday to Friday 8 am - 4 : 30 pm

Required Education :

Bachelor’s Degree or equivalent experience

Required Experience :

2-4 years in professional coding experience, professional or hospital.

Knowledge of insurance claims processing.

In- Patient Experience Required.

Required Licensure / Certification :

Certified Professional Coder (CPC)

Summary

• Directly responsible and accountable for performing chart reviews, physician education, and maintaining comprehensive knowledge of coding rules and regulations.
• Provide overall coding expertise as well as administrative and technical oversight to ensure successful integration of Client initiatives.
• Proficient with Microsoft Excel
• Performs on-going chart reviews and abstracts diagnosis codes
• Develop an understanding of current billing practices in provider offices to ensure that diagnosis and CPT codes are submitted accordingly
• Coordinate with Clinical Informatics on system errors and suggest improvements to ensure effective and efficient processes are followed
• Documents results / findings from chart reviews and provides feedback to management, providers, and office staff
• Creates necessary tools (educational materials, newsletters, etc.) for providers to assist them in current and accurate coding practices
• Provides training and education to network of providers on how to improve their risk adjustment knowledge as well as provide coding updates related to Risk Adjustment
• Monitors progress of providers to ensure Guidelines set forth by CMS (Centers for Medicare and Medicaid Services) are being followed
• Builds positive relationships between providers and Client by providing coding assistance when necessary.
• Responsible for administrative duties such as planning, scheduling of chart reviews, obtaining of medical records, and provider training and education
• Collaborates with cross-functional team to support a variety of projects such as implementation of risk adjustment applications, development of reports, etc.
• Assists in coordinating management activities with other departments in Client including Finance, Revenue analytics, Claims and Encounters, and Medical Directors
• Assists in coordinating CMS Data Validation activities, including record selection, tracking and submission, in conjunction with the Coding Manager of the RAMP Department
• Maintains professional and technical knowledge by attending educational workshops reviewing professional publications establishing personal networks participating in professional societies
• Contributes to team effort by accomplishing related results as needed
• Other duties as assigned.
• More than 2 years experience in a healthcare setting
• More than 2 years experience in coding and medical record chart review
• Associates degree or equivalent combination of education and experience
• Active and unrestricted Coding Certification (CIC, CPC, CCS, RHIT, or RHIA)