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Professional Coder - Medical Coder | Contract | Remote

Alpha Business Solutions

Role overview

Qualifications

  • Current Registered Health Information Technologies (RHIT) or Certified Professional Coder designation
  • 2 - 5 years of Medical Coding experience
  • Minimum of 2 years’ experience in Health Insurance/quality chart audits and/or Utilization Review
  • Bachelor's degree preferred

Responsibilities

  • Understand and translate CPT, HCPC, ICD-9/ICD-10 codes for HCC abstraction
  • Review medical records for completeness, accuracy and compliance with coding guidelines
  • Identify, compile and code member/patient data using ICD-9/ICD 10-CM
  • Support educational activities for internal stakeholders on coding review/guidelines

Key facts

Hard skills

Medical Coding ICD Coding (ICD-9/ICD-10) CPT Coding Insurance Reviews Speech Fluency

Other skills

  • Microsoft Excel
  • Communication
  • Teamwork
  • Problem Solving

About the company

Alpha Business Solutions logo

Alpha Business Solutions

Human Resources Services

Alpha Business Solutions LLC is one of the largest MBE certified, Black-owned Employer of Record/ Payrolling/ Staffing service provider firms in the United States. We combine business solutions with innovative diversity programs that enable our clients to do well while doing good. Workforce Management Solutions - Employer of Record & Payrolling Services - IC/1099 Compliance - Risk Mitigation - Compliance Reporting Staffing Solutions - Contract Staffing - Risk Mitigation Diversity Solutions - Diverse Spend - Supply Chain Diversity - Workforce Diversity Please join our LinkedIn company page for expert advice, opinions, and information about what’s happening at Alpha.

Company details

IndustryHuman Resources Services
Company size1001 - 5000

Links

Website LinkedIn See all jobs

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Job description

Job Title: Professional Coder
Contract: 6 Months
Location: 100% Remote | Can work remote from any of the following five states NY, NJ, PA, DE, CT
Pay rate: $42/HR on W2
 
Summary:
This position is accountable for accurately reviewing, interpreting, auditing, coding and analyzing medical record documentation for diagnosis accuracy, correct documentation, and Hierarchical Coding Condition (HCC) abstraction. Review may include inpatient, outpatient treatment and/or professional medical services, according to ICD-9/ICD-10 CM coding guidelines and risk adjustment model regulations. This position supports Annual Commercial (ACA) and Medicare Advantage Risk Adjustment Data Validation Audits (RADV) along with the annual Risk Adjustment life cycle for the Medicare, Medicaid, and Commercial lines of business.

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.
 
Qualifications:
  • 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
 
Disclaimer
This job summary has been designed to indicate the general nature and level of work performed by colleagues within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications required of colleagues assigned to this job.
The information above is intended to describe the general nature of
the work being performed by each incumbent assigned to this position. This job description is not designed to be an exhaustive list of all responsibilities, duties, and skills required of each incumbent.
 
Please apply with your interest. You may also reach out to me at abaranwal@alphambe.com
 
Thank you,
Ashu
 
We provide a comprehensive package which includes.
Benefits
  • Medical for full time employees
  • Dental, and Vision Insurance
  • Life Insurance, Short-Term Disability, Long-Term Disability, etc.
 

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Marcus Rivera

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