Medical Coding Specialist

POSITION SUMMARY

 

Reviews medical records and applies appropriate diagnostic codes according to Company standards (following both Official Coding Guidelines and Medicare Advantage risk adjustment guidelines).

 

REQUIRED EDUCATION & EXPERIENCE

 RHIA, RHIT, CCS, and CCS-P certification status required;Successful completion of a coding certificate program approved by AHIMA;At least three (3) years’ experience as a medical coder/abstractor;

 

REQUIRED KNOWLEDGE, SKILLS & ABILITIES

 Extensive knowledge of ICD-9-CM outpatient diagnosis coding guidelines (with  knowledge and demonstrated understanding of CMS HCC Risk Adjustment coding and data validation requirements is preferred);Ability to code using an ICD-9-CM code book (without using an encoder); Strong clinical skills related to chronic illness diagnosis, treatment and management;Reliability and a commitment to meeting tight deadlines (48-hour turnaround time on all assigned charts); Willingness to work some weekends and evening hours to meet changing client goalsPersonal discipline to work remotely without direct supervisionExemplary attention to detail and completeness—all medical coders must maintain 95% accuracy on all assignments; Computer proficiency (including MS Windows, MS Office, and the internet);   Must have high-speed internet access, a home computer with a current Windows operating system, MS Internet Explorer (version 6.0.2 or better), and Adobe 6.0 or better;Strong organization skills and an ability to work without direct supervision;Strong interpersonal and customer service skills;Strong written and oral communication skills; andStrong analytical skills.

 

SUMMARY OF DUTIES & RESPONSIBILITIES

 

§ Abstract pertinent information from patient medical records.  Assign appropriate ICD-9-CM codes, creating HCC and/or RxHCC group assignments.

§ Assign diagnostic modifiers when documentation in the record is inadequate, ambiguous, or otherwise unclear for medical coding purposes.

§ Maintain current on medical coding guidelines and reimbursement reporting requirements.  

§ Report concerns to Medical Coding Supervisor and, if not adequately addressed, to Director of Reimbursement Reconciliation & Audit. 

§ Comply with the Standards of Ethical Coding as set forth by the American Health Information Management Association, and adhere to official coding guidelines.

§ Participate in testing and training as required by the Company.

 

COMPENSATION

 

§ Fee per chart:  $3.50/chart, plus $0.25 per service date, for each chart correctly and completely coded and uploaded.

 

Qualified candidates should submit a resume and brief cover letter to Brandy via e-mail at bdemicco@outcomesinc.com .