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The Opportunity
Description
We're looking for a
HCC Coder/Abstractor, working in
Insurance industry in
Albany, Ohio, United States.
- Reviews patients' medical records to identify diagnoses and procedures performed.
- Assigns accurate medical codes for diagnoses, treatments, and procedures according to the appropriate classification system.
- Abstracts diagnosis codes.
- Audits medical records and validates entries that have been submitted to CMS.
- Conducts audits of medical records (paper, EMR, hybrid).
- Adheres to compliance of Medicare, Medicaid, and Commercial risk adjustment guidelines with precision.
- Understands, respects and applies client specific guidelines.
- Adheres to audit and medical record review schedules to meet client expectations and government-regulated deadlines.
- Regularly participates in peer review; provides and receives feedback.
- Ensures accurate documentation to support all audits.
- Assures adherence to and currency with internal and external regulatory guidelines:
- CMS/HHS
- DOH
- HIPAA, HITECH, and Fraud Waste & Abuse
- Medical coding protocols
- Maintains coding credentials as required by credentialing agency.
Our Client
Our client is a fast-growing industry-recognized staffing firm. Recruiting critical IT, Financial, Engineering, Healthcare, and Data Analytics talent. With 20+ years’ experience and growth.
Connections in Automotive, Healthcare, Retail, Financial & Insurance, and Professional & Business Services. Working to bring top talent together with premier organizations.
Big enough to have great opportunities. Small enough to care about finding the right one for you.
It’sabout relationships based on mutual interest. The results are low turnover, long-lasting partnerships and growth. Want to work for a company invested in your success?
Experience Required for Your Success
REQUIREMENTS:
- 5 years of experience of with ICD-10, CPT and HCPC coding systems
- Coding Certification: CPC, CCS, CRC, RHIT, or RHIA
- Proficiency in MS Office tools such as Word, PPT, Excel and be comfortable learning and becoming an expert on new and proprietary software
PREFERRED QUALIFICATIONS:
- Strong written and verbal communication skills, including propensity to establish and build strong relationships
- Take initiative to establish priorities, coordinate work activities and perform multiple and complex tasks while working independently and with minimal supervision in a remote setting
- Ability to consistently meet established minimum quality standards in a heavy production environment
- Ability to meet organization production and accuracy goals
- CRC Certification
What Do You Think?
Does your experience reflect what it takes to be successful in this role? Do the work and challenges get you excited about what's possible?