- Perform code abstraction of medical records to ensure ICD--CM codes are accurately assigned and supported by clinical documentation
- Identify diagnosis and chart level impairments and documentation improvement opportunities for provider education
- Maintain current knowledge of ICD--CM codes, CMS documentation requirements, and state and federal regulations
- Ability to pass coding quiz with % accuracy
- Consistently maintain a minimum % accuracy on coding quality audits
- Meet minimum productivity requirements as outlined by the project terms
- Ability to adhere to client guidelines when superseding other guidelines
- Assist coding leadership by making recommendations for process improvements to further enhance coding goals and outcomes
- Handle other related duties as required or assigned
- Strong organizational skills
- Technical savvy with high level of competence in basic computers, Microsoft Outlook, Word, and Excel
- Strong written and verbal communication skills
- Ability to work independently in a remote environment
- Minimum of 1 recent year of production coding experience in Retrospective Risk Adjustment coding (must be within last 6 months)
- Required code set knowledge and coding experience in Medicaid (primary), Medicare, Commercial
- Minimum of 1 year coding experience with Complete Code Capture
- Minimum of 3 years certified with a core coding credential from AHIMA or AAPC
- High School Diploma or equivalent
- Completion of an accredited medical coding program is highly desired, but not required
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Retro-Coding - Coder - Riverdale, United States - Centauri Health Solutions, Inc
Description
Retro-Coding - Coder
Riverdale, GA, USA Req #4 Tuesday, April , 4 Centauri Health Solutions provides technology and technology-enabled services to payors and providers across all healthcare programs, including Medicare, Medicaid, Commercial and Exchange. In partnership with our clients, we improve the lives and health outcomes of the members and patients we touch through compassionate outreach, sophisticated analytics, clinical data exchange capabilities, and data-driven solutions. Our solutions directly address complex problems such as uncompensated care within health systems; appropriate, risk-adjusted revenue for specialized sub-populations; and improve access to and quality of care measurement. Headquartered in Scottsdale, Ariz., Centauri Health Solutions employs 0 dedicated associates across the country. Centauri has made the prestigious Inc. 0 list since 9, as well as the 0 Deloitte Technology Fast TM list of the fastest-growing companies in the U.S. For more information, visitJob Summary:
The Risk Adjustment Coder performs medical record diagnosis code abstraction based upon clinical documentation, ICD--CM Official Guidelines for Coding and Reporting, AHA Coding Clinic Guidance, CMS program guidance, and in accordance with all state regulations, federal regulations, internal policies, and internal procedures. The Risk Adjustment Coder will apply guidance provided for the medical record code abstraction primarily for Medicaid lines of business (Complete Code Capture), but may also include Medicare Advantage Risk Adjustment or Commercial Risk Adjustment.
Key Responsibilities:
Required Skills:
Required Experience:
AHIMA – CCS, CCS-P, AAPC – CPC, CRC (no apprentice credentials accepted)
Required Education:
