Business Professional - Professional Coder I Professional Coder I

Job Description : Summary :

This position is accountable for accurately reviewing, interpreting, auditing, coding and analyzing medical record documentation for diagnosis accuracy, correct documentation, and Hierarchical Coding Condition (HCC) abstraction.

Review may include inpatient, outpatient treatment and / or professional medical services, according to ICD-9 / ICD-10 CM coding guidelines and risk adjustment model regulations.

This position supports Annual Commercial (ACA) and Medicare Advantage Risk Adjustment Data Validation Audits (RADV) along with the annual Risk Adjustment life cycle for the Medicare, Medicaid, and Commercial lines of business.

Responsibilities :

• 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.
• Identify, compile and code member / patient data, using ICD-9 / ICD 10-CM and other standard classification coding systems.
• Support the collection and distribution of documentation and coding improvement tools for designated practice units as applicable.
• Support educational activities for internal stakeholders as necessary as subject matter expert on coding review / guidelines.
• Actively participate & engage in program improvement discussions and activities.
• 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 2 - 5 years of Medical Coding experience
• Requires a minimum of 2 years’ experience in Health Insurance / quality chart audits and / or Utilization Review
• Bachelor's degree preferred

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
• This is a Remote role

Disclaimer

It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications required of colleagues assigned to this

job.

The information above is intended to describe the general nature of the work being performed by each incumbent assigned to this position.

This job description is not designed to be an exhaustive list of all responsibilities, duties, and skills required of each incumbent.

For more information please contact Priya Jagtap at (703) 574-1407 or [email protected]

Since 1995, iTech Solutions Inc., has been providing IT Consulting and Direct Hire Services to the Insurance, Financial, Communications, Manufacturing and Government sectors with local offices in Connecticut, Minnesota, Colorado, Massachusetts, Tennessee, North Carolina, and New Jersey / Pennsylvania area.

Our recruiting strategy is simple, if you want to find qualified IT professionals then use IT professionals to find them.

So at iTech Solutions, our personnel are all career IT professionals with a wide range of IT experience. We can honestly say our staff understands the technologies, the complexities of finding and selecting the appropriate personnel and the pressures of running successful IT projects.

Employer will not sponsor applicants for any employment visas, at hiring or in the future, including but not limited to H-1B visas.

Corp-to-Corp or subcontract personnel will not be considered for this position.

The Medical Record Coder will be responsible for working coding edits (Hospital & Professional) by adhering to CMS and payor guidelines (e.

g., medical necessity, bundled / unbundled, and non-covered services) Review and resolve all assigned work queues and adhere to productivity standards.

As well as research policies and procedures and make recommendations regarding discrepancies with billing and coding.

Job Responsibilities

Review physician documentation for appropriate (CPT 4, ICD10, and HCPCS) coding

Analyze data related to missing charges

Reconcile EEG studies against the professional billing inpatient procedure note charge report

Identifies principal and secondary diagnosis and assign appropriate ICD10 code in the correct sequence

Requirements

High school diploma / GED

CPC Certification from the American Academy of Professional Coders & Maintain their annual CEU credits mandated by the AAPC

Proficient EPIC user & understanding of Excel

Knowledge of the principles and procedures of coding

Knowledge of all types of insurance plans including HMO and managed care as well as covered benefits

Job Summary

Basic Function :

The Developing Language and Literacy Lab, directed by Dr. Carol Scheffner Hammer at Teachers College, Columbia University researches the language and literacy development of young children from diverse backgrounds, with an emphasis on bilingual or dual language learners.

Successful candidates will have a background in speech, language and hearing sciences, linguistics, language development, early childhood education, child development, or psychology.

Candidates should be conscientious and detail oriented. Previous experience with transcribing and annotating language samples is highly desirable.

Responsibilities :

• Assist with analyses of language sample data
• Communicate regularly with project supervisors
• Data maintenance tasks as needed
• Other tasks related to the project as needed

Minimum Qualifications :

• Background in speech, language and hearing sciences, linguistics, language development, early childhood education, child development, or psychology
• Excellent organization and communication skills
• Able to commit to 5-6 hours per week

Preferred Qualifications :

Near-native proficiency or working knowledge of Spanish is a plus.

Salary Range : $18 / hour

$18 / hour

Work Modality : Onsite

Onsite

Description :

Safety, Accountability and Viability : Health Information Management Makes It Possible

Emergency Department Coder - Full Time

Set your sights on a career and step up to the forefront of health information management (HIM). At NewYork-Presbyterian, our multi-campus team of HIM professionals is behind every world-renowned patient treatment, surgery and procedure.

These are the experts who ensure complete clinical documentation, accurate medical coding and proper reimbursement for our hospital.

And now, you can become one of the people who Make It Possible.

Perform diagnostic and procedural coding for Emergency Department medical records. Utilize the electronic medical record, review, abstracts and apply appropriate diagnostic and procedural coding, facilitate level E&M coding, and APC assignment of Emergency Department patient records according to coding guidelines as applicable.

Preferred Criteria

CPC, CCS or RHIT

Required Criteria

• College level coursework in anatomy, physiology and medical terminology
• Provide evidence of successfully completed coding course in ICD10CM, CPT, HCPCS, E&M and applicable grouper coding schemes
• One year demonstrated ED diagnostic and procedural coding experience including E&M and infusion coding in a computerized / electronic environment in an academic medical center
• Proficient computer skills, including experience with clinical information systems for accessing health information in an electronic environment

Risk Adjuster Coder The HCC Risk Adjustment Coder works within the Risk Adjustment Team to review medical records and translate them into risk-adjustable ICD-10 codes.

The HCC Risk Adjustment Coder is meticulous and diligent in an attempt to ensure the risk accuracy of each member enrolled in a Centers Plan for Healthy Living’s Medicare Plan.

Essential Duties and Responsibilities : Reviews, analyzes and codes diagnostic information located in a member’s medical record Ensures compliance with established ICD-10 coding guidelines and regulations Compiles educational materials and trains providers regarding proper coding protocols Participates in quality improvement initiatives Completes other duties, as assigned Knowledge, Skill Set & Qualifications Required AHIMA certified credentials (RHIA, RHIT, CCS) or AAPC certified credentials (CPC, CPCH, COC, CIC, or CRC).

2 years of HCC Risk Adjustment coding experience Proficiency in Microsoft Excel A strong knowledge base of medical terminology, abbreviations, pharmacology, and disease processes Strong written and verbal communication skills Ability to follow instructions, meet deadlines, and work independently.

Position Type / Expected Hours of Work Full time, Monday through Friday, 9 a.m. to 5 p.m. We offer : Competitive Wages Health Benefits Dental Vision 401K Generous Paid Time Off Voluntary Employee Benefit Programs Paid Training Employee Referral Award Program LOCATION : Staten Island, New York ABOUT US : AHC18, LB123 Revival Home Health Care is guided by a tradition of personal, clinical, and technological excellence.

We promise to provide responsive, culturally sensitive, professional home care to our communities in a cost-effective way.

In addition, we provide special services including in-center and home dialysis, ventilator care, and care for those with Alzheimer’s.

The Centers Health Care family offers Skilled Nursing, Urgent Care, Managed Care, Renal Dialysis Services, Clinical Laboratory Services, Adult Day Health Care, and Assisted Living services, as well as every level of Home Care.

Centers is well known for our commitment to our employees, offering outstanding ongoing training and development, career advancement opportunities, competitive pay rates, generous compensation packages and more.

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