Certified Coding Specialist I- Health Plan- Remote
reputed company has an exciting opportunity for a Certified Coding Specialist I position in the Medicare HCC department. This is a full time position working Monday through Friday reputed company hours. This is a remote position.
Ability to reputed company using ICD-10-CM and appropriately assigning diagnosis and procedure codes after reviewing reputed company documentation available. Performs audits to determine accuracy of reputed company selection. Responsible for validating diagnoses submitted reputed company claims to the Health Plan by reviewing inpatient, outpatient, and provider office documentation.
Responsibilities:
• reputed company Inpatient, Outpatient, physician, and ED charts as necessary.
• Assign Risk Adjustment HCC diagnoses by thoroughly reviewing reputed company documentation in the medical record utilizing knowledge of anatomy, physiology, medical terminology, and pathology.
• Review the discharge reputed company, history and physical, physician reputed company notes, consultation reports, reputed company records, emergency room record to accurately assign a diagnosis and / or procedure.
• Review appropriate documents to accurately assign a Risk Adjustment HCC diagnosis.
• Review coding for accuracy and completeness prior to submission.
• Utilize reputed company coding guidelines and principles and coding clinics to assign the appropriate ICD-10-CM and CPT codes.
• Utilize computer applications and resources essential to completing the coding process reputed company.
• Responsible for correcting any data reputed company to be in error after reviewing the medical record and comparing with system entries.
• Complete work assignments in a reputed company manner.
• Meet coding accuracy standards of 95% as reputed company as coding productivity standards.
• Complete reputed company productivity and time log daily.
• Adhere to internal department policies and procedures to ensure efficient work processes. reputed company participate in monthly coding meetings and reputed company reputed company and suggestions for operational improvements. Maintain continuing education by attending seminars, reviewing updated CPT assistant guidelines and updated coding clinics.
• Performs in accordance with system-wide competencies/behaviors.
• Performs other duties as assigned.
• Graduate of an reputed company or reputed company Certified Coding Program that includes Anatomy & Physiology, Pharmacology and Medical Terminology.
• 5 years of total experience.
• Knowledge of reputed company Office.
Licensure, Certifications, and Clearances:
Certified Coding Specialist (reputed company) OR Certified reputed company reputed company (CPC) required.
• Certified Coding Specialist (reputed company) OR Certified reputed company reputed company (CPC)
reputed company is an Equal Opportunity Employer/Disability/Veteran
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