Job Description:
• Responsible for performing audit and abstraction of medical records to identify and submit ICD codes
• Ensure appropriate, accurate codes that are supported by clinical documentation in accordance with State and Federal regulations and internal policies
• Support coding judgment and decisions using industry standard evidence and tools
• Proficient in abstraction and assignment of accurate medical codes for diagnoses
• Utilize medical records to document support for etiology and manifestations of disease processes
• Adhere to stringent timelines consistent with project deadlines and directives
• Conduct self-process audits to ensure compliance with internal policies and procedures as well as regulatory guidance
Requirements:
• CPC (Certified Professional Coder) or CCS-P (Certified Coding Specialist-Physician) required
• Computer proficiency including experience with Microsoft Office products (Word, Excel, Access, PowerPoint, Outlook)
• Minimum of 1 year recent and related experience in medical record documentation review, diagnosis coding, and/or auditing
• 3 years recent and related experience in medical record documentation review, diagnosis coding, and/or auditing preferred
• Experience with Medicare and/or Commercial and/or Medicaid Risk Adjustment process and Hierarchical Condition Categories preferred
• CRC (HCC)CPMA (Certified Professional Medical Auditor), CDEO (Certified Documentation Expert Outpatient) or CPC-I (Certified Professional Coding Instructor) preferred
• Excellent analytical and problem solving skills
• Superior communication, organizational, and interpersonal skills
Benefits:
• Affordable medical plan options
• 401(k) plan (including matching company contributions)
• Employee stock purchase plan
• No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs
• Confidential counseling and financial coaching
• Paid time off
• Flexible work schedules
• Family leave
• Dependent care resources
• Colleague assistance programs
• Tuition assistance
• Retiree medical access