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Inpatient /Outpatient Medical Coder (Remote) - Cpc

3-5 years
$70,000 to $73,000 per year
10 Nov. 23, 2024
Job Description
Job Type: Full Time Education: B.Sc./M.Sc./B.Pharm/M.Pharm/Life science Skills: Causality Assessment, Clinical SAS Programming, Communication Skills, CPC Certified, GCP guidelines, ICD-10 CM Codes, CPT-Codes, HCPCS Codes, ICD-10 CM, CPT, HCPCS Coding, ICH guidelines, ICSR Case Processing, Interpersonal Skill, Labelling Assessment, MedDRA Coding, Medical Billing, Medical Coding, Medical Terminology, Narrative Writing, Research & Development, Technical Skill, Triage of ICSRs, WHO DD Coding

Job Description:

The position involves auditing and reviewing medical records to ensure accurate and complete provider documentation and coding practices, supporting accurate patient risk adjustment scores. The role requires identifying trends and inconsistencies in documentation and coding, developing educational materials, and training providers and staff to improve coding accuracy. The individual will work in collaboration with other departments to create plans and materials that standardize proper coding practices. Additionally, the role includes participating in data analysis, collecting and generating reports, and maintaining confidentiality of sensitive information.

Key Responsibilities:

  • Audits and reviews medical records to verify completeness, accuracy, and alignment with individual patient risk adjustment scores.
  • Identifies trends and inconsistencies in provider documentation and coding practices.
  • Develops and implements curriculum to improve provider coding practices and educate providers and staff on coding guidelines.
  • Collaborates with other departments to develop plans and materials supporting system changes that ensure proper coding.
  • Participates in the analysis of summary data and assists with data collection and report generation.
  • Ensures confidentiality and security of sensitive patient information.

Minimum Qualifications:

  • Education: Associate's degree required.
  • Experience: 3-5 years of healthcare experience in a physician group practice or ambulatory care setting preferred.
  • 1+ years of medical coding experience with proven sustained coding quality.
  • Knowledge: In-depth understanding of coding/classification systems for inpatient, outpatient, APR-DRG/MSDRG, and APC/APG prospective payment systems.
  • Advanced knowledge of CPT/HCPS/Revenue Code procedure coding, and ICD-9/ICD-10 coding principles and practices.
  • Ability to research authoritative sources related to coding, compliance, and reporting requirements.
  • Strong understanding of claims processing for both private and government insurance.
  • Licensure/Certification: Required (e.g., CPC, CCS, or similar certification).

This role is essential for ensuring accurate coding and supporting continuous improvements in provider documentation and compliance practices.