Our Client, a Health Insurance company, is looking for a Professional Coder I for their Remote location.
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.
Requirements:
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
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
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
ICONMA is an Equal Opportunity Employer. All qualified applicants will receive considerationfor employment without regard to any status protected by applicable law.
