Required Skills:
1. Minimum Experience
• 3+ years of coding experience (CPT, ICD-9/10, HCPCS)
• Risk Adjustment and/or HEDIS experience preferred
2. Education/Licensure:
• Minimum of High School Diploma
• Associates Degree or bachelor’s degree preferred
• One of the following Coding Certification CCS, CCS-P, CCA through AHIMA or CPC, COC, CIC through AAPC) required
...
• Additional CRC certification required
• Additional RHIA and /or RHIT preferred
The Sr. Coders will perform auditing and monitoring of contracted vendors that perform various coding services for the organization.
Essential Job Functions:
• Verify and ensure the accuracy, completeness, specificity, and appropriateness of diagnosis codes based on services rendered.
• Review medical record information to identify all appropriate coding based on CMS HCC categories.
• Complete appropriate paperwork/documentation/system entry regarding claim/encounter information.
• Demonstrate analytical and problem-solving ability regarding barriers to receiving and validating accurate HCC information.
• Support and participate in process and quality improvement initiatives.
• Maintain a comprehensive tracking and management tool to track all HCC activities and ensure that all tasks are completed in a timely manner.
• Performs AHIMA compliant queries to providers when necessary
• Participate in ongoing training and education
• May participate in special project auditing as required
• Assists with the auditing, and oversight of Coders
• Conducts training and onboarding for new Coders
• Acts as a coach, mentor, and Subject Matter Expert for Coders
• All other duties as assigned
Other Job Functions:
• Understand, adhere to, and implement the Company’s policies and procedures.
• Provide excellent customer services skills, including consistently displaying awareness and sensitivity to the needs of internal and/or external clients. Proactively ensuring that these needs are met or exceeded.
• Take personal responsibility for personal growth including acquiring new skills, knowledge, and information.
• Engage in excellent communication which includes listening attentively and speaking professionally.
• Set and complete challenging goals.
• Demonstrate attention to detail and accuracy in work product by meeting productivity standards and maintaining a company standard of accuracy
show more
Required Skills:
1. Minimum Experience
• 3+ years of coding experience (CPT, ICD-9/10, HCPCS)
• Risk Adjustment and/or HEDIS experience preferred
2. Education/Licensure:
• Minimum of High School Diploma
• Associates Degree or bachelor’s degree preferred
• One of the following Coding Certification CCS, CCS-P, CCA through AHIMA or CPC, COC, CIC through AAPC) required
• Additional CRC certification required
• Additional RHIA and /or RHIT preferred
The Sr. Coders will perform auditing and monitoring of contracted vendors that perform various coding services for the organization.
Essential Job Functions:
• Verify and ensure the accuracy, completeness, specificity, and appropriateness of diagnosis codes based on services rendered.
• Review medical record information to identify all appropriate coding based on CMS HCC categories.
• Complete appropriate paperwork/documentation/system entry regarding claim/encounter information.
• Demonstrate analytical and problem-solving ability regarding barriers to receiving and validating accurate HCC information.
• Support and participate in process and quality improvement initiatives.
...
• Maintain a comprehensive tracking and management tool to track all HCC activities and ensure that all tasks are completed in a timely manner.
• Performs AHIMA compliant queries to providers when necessary
• Participate in ongoing training and education
• May participate in special project auditing as required
• Assists with the auditing, and oversight of Coders
• Conducts training and onboarding for new Coders
• Acts as a coach, mentor, and Subject Matter Expert for Coders
• All other duties as assigned
Other Job Functions:
• Understand, adhere to, and implement the Company’s policies and procedures.
• Provide excellent customer services skills, including consistently displaying awareness and sensitivity to the needs of internal and/or external clients. Proactively ensuring that these needs are met or exceeded.
• Take personal responsibility for personal growth including acquiring new skills, knowledge, and information.
• Engage in excellent communication which includes listening attentively and speaking professionally.
• Set and complete challenging goals.
• Demonstrate attention to detail and accuracy in work product by meeting productivity standards and maintaining a company standard of accuracy
show more