Professional Coder I

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.

• 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
• Knowledge
• 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
• Skills and Abilities
• 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

• Health Benefits
• Referral Program
• Excellent growth and advancement opportunities