3 jobs found for Medical Coder

Sr. Coders will perform auditing and monitoring of contracted vendors thatperform various coding services for company.Essential Job Functions:• Verify and ensure the accuracy, completeness, specificity, andappropriateness of diagnosis codes based on servicesrendered.• Review medical record information to identify all appropriate codingbased onCMS HCC categories.• Complete appropriate paperwork/documentation/system entry regardingclaim/encounter information.• Demonstrate analytical and problem-solving ability regarding barrierstoreceiving and validating accurate HCC information.• Support and participate in process and quality improvement initiatives.• Maintain a comprehensive tracking and management tool to track allHCCactivities and ensure that all tasks are completed in a timelymanner.• Performs AHIMA compliant queries to providers when necessary• Participate in ongoing training and education• May participate in special project auditing asrequired• 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 assignedOther Job Functions:• Understand, adhere to, and implement the Company’s policies andprocedures.• Provide excellent customer services skills, including consistentlydisplayingawareness and sensitivity to the needs of internal and/or externalclients. Proactively ensuring that these needs are met or exceeded.• Take personal responsibility for personal growth including acquiringnew skills,knowledge, and information.• Engage in excellent communication which includes listening attentively andspeaking professionally.• Set and complete challenging goals.• Demonstrate attention to detail and accuracy in work product by meetingproductivity standards and maintaining a company standard of accuracy

1 - 3 years experience in medical coding (US Healthcare)• Experience with ICD-10 and CPT coding and its documentation• Review medical records, if necessary, to support the position of anomaly identified within claims data• Sound knowledge of medical terminology and anatomy & physiology• Must be willing to work rotational shifts including US shift• Graduation/certification in life sciences will be added advantage• Proficiency in MS office tools• Excellent written and oral communication skills• Medical Coder certification (CPC or CCS-P or CPC-H or CPC-P) from an accredited source (e.g., American Health Information Management Association, American Academy of Professional Coders) will be highly desirable• Should have the ability to analyze data and draw patterns• Experience in working for Payer end is an added advantage• Ability to pay attention to detail

Description: • 1 - 3 years in medical coding (US Healthcare)• Experience with ICD-10 and CPT coding and its documentation• Review medical records, if necessary, to support the position of anomaly identified within claims data• Sound knowledge of medical terminology and anatomy & physiology• Must be willing to work rotational shifts including US shift• Graduation/certification in life sciences will be added advantage• Proficiency in MS office tools• Excellent written and oral communication skills• Medical Coder certification (CPC or CCS-P or CPC-H or CPC-P) from an accredited source (e.g., American Health Information Management Association, American Academy of Professional Coders) will be highly desirable• Should have the ability to analyze data and draw patterns• Experience in working for Payer end is an added advantage• Ability to pay attention to detail