Empower. Unite. Care.
We are committed to empowering New Yorkers by uniting communities through care. We believe that Healthcare is a right, not a privilege. If you have compassion and a collaborative spirit, work with us. You can come to work being proud of what you do every day.
Position Overview
The Inpatient/Outpatient Coder is responsible for conducting coding audits and education for providers with greatest opportunity for improvement. This individual will ensure medical diagnosis and procedure codes submitted on provider claims are accurate. In addition, this person will review medical records for: physician documentation, clinical evidence that supports the diagnoses, medical necessity of procedures, appropriate setting of care and accurate use of CMS coding guidelines.
Job Description
● Identifies trends and inconsistencies in provider documentation and coding practices.
● Audits and reviews medical records to determine if the medical record is complete, accurate,and in support of individual patient risk adjustment score accuracy.
● Develops curriculum to improve provider coding practices.
● Educates providers and their practice staff in coding guidelines.
● Works in collaboration with other departments, develop plans and materials that support education and system changes to ensure proper coding is a standard practice for all providers.
● Participates in the review and analysis of summary data. Assist with data collection and report generation.
● Maintains the confidentiality and security of sensitive information and files.
Requirements
● Associate degree required.
● 3-5 years healthcare experience in a physician group practice or other ambulatory care setting preferred.
● 1+ years of medical coding experience with demonstrated sustained coding quality.
● In-depth knowledge of coding/classification systems appropriate for inpatient, outpatient, APR-DRG/MSDRG and APC/APG prospective payment systems
● Demonstrates advanced knowledge of CPT/HCPS/Revenue Code procedure coding, ICD-9/ICD-10 coding principles and practices.
● Ability to research authoritative citations related to coding, compliance, and additional reporting requirements.
● Demonstrates overall knowledge of claims processing for various insurance both private and government
Licensure and/or Certification Required
● Certification as a professional coder (CPC)
...Resource Innovations is seeking a talented, strategy-driven Sr. Art Director in the Mid-West to join a rapidly growing, mission-driven organization where your creativity will help drive real change. As part of our expanding team, you'll help build an internal agency...
...civil project manager. Strong candidates will have 10+ years construction project management experience with a track record of managing... ...grown significantly over the the last 4 years, has a strong pipeline of projects over the next 18+ months, and has aggressive growth...
...Emergency Room Registered Nurse (RN) - Travel - 4 x 12 hr nights Join the dynamic team of healthcare professionals at CTTX Health as... ...the lives of patients in need of urgent medical care. As a travel ER nurse, you will have the opportunity to work in different healthcare...
...family of companies works to help feed local families, neighbors, and communities. As the Warehouse Environmental Health & Safety (EHS) Manager, you will maintain the safety and security programs under the direction of the Security Director with functional guidance...
**Commercial Construction Estimator** Are you an experienced Estimator ready to take on high-profile commercial construction projects with... ...growth potential.* Financially stable company with a strong pipeline of upcoming projects. To explore this exciting opportunity...