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Medical Coder
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Kings County House Calls Brooklyn, United States**Job Overview**: · We are seeking a detail-oriented and experienced Coding Specialist to join our team. As a Coding Specialist, you will be responsible for accurately assigning medical codes to diagnoses and procedures for billing and reimbursement purposes. Your expertise in me ...
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Medical Coder
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ActiveStar LLC Brooklyn, United StatesJob Overview: · We are seeking a detail-oriented and experienced Coding Specialist to join our team. As a Coding Specialist, you will be responsible for accurately assigning medical codes to diagnoses and procedures for billing and reimbursement purposes. Your expertise in medica ...
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Medical Coder- Inpatient
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Medical Coder
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Medical Coder
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Chinese Speaking License Medical Coder
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Medical Coder/biller
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remote medical coder
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Phaxis - Healthcare New York, United StatesJob Description · Job Description · Our client is seeking a REMOTE MEDICAL CODER with experience coding Cardiology and Pulmonary office and hospital visits, non-invasive testing, PFT testing, Electrocardiograms, Pacer Interrogations, Cardiac Monitoring, Cardiac Cath, and Electrop ...
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Chinese and English License Medical Coder
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Certified Medical Coder
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Medical Coder/biller
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Medical Biller/coder
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Medical Biller and Coder
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Medical Coder/biller
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Acute Facility Medical Coder
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UnitedHealth Group New York, United StatesAssign appropriate codes for outpatient Acute Interventional Radiology services while adhering to coding guidelines. Analyze/correct CCI Edits and Medical Necessity Edits. Participate in coding department meetings and educational events. ...
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Certified Medical Outpatient Edits Coder
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UnitedHealth Group New York, United StatesCertified Medical Outpatient Edits Coder responsible for accurately determining CPT and ICD-10 codes for various surgeries and procedures, adhering to coding guidelines, providing documentation feedback, and maintaining coding knowledge. ...
Medical Coder - New York, United States - eTeam
Description
Senior Professional Coder (Risk Adjustment)
100% Remote @ NJ, NY, PA, CT, DE
Duration: 06+ Months C2H
Pay Rate: $45-$48/hr
Job Description: Summary:
The Senior Professional Coder provides services to perform code abstraction using the Official Coding Guidelines for ICD-9-CM/ICD-10-CM, AHA Coding Clinic Guidance, and in accordance with all state regulations, federal regulations, internal policies, and internal procedures. HCC Risk Adjustment Coders will be involved with activities of code abstraction for the following programs; including but not limited to, Commercial Risk Adjustment, Medicare Advantage Risk Adjustment, Commercial IVA (Initial Validation Audit), and Medicare RADV (Risk Adjustment Data Validation). HCC Risk Adjustment Coders are required to maintain minimum 95% accuracy on coding quality audits.
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 Coders 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 professional and ethical business practices, adherence to company standards and a commitment to personal and professional development
Proven ability to exercise sound judgment and problem solving skills
-Proven ability to ask probing questions and obtain thorough and relevant information