Risk adjustment coder

Contract: Newark, New Jersey, US

Salary: $45.00 Per Hour

Job Code: 350622

End Date: 2024-06-15

Job Status: Expired

This Job is no longer accepting applications

100% Remote position for NJ, NY, CT, DE, PA state of candidate.

  • About the Role: We are seeking a Senior Professional Coder to join our team and provide services for code abstraction using the Official Coding Guidelines for ICD-9-CM/ICD-10-CM.
  • The Senior Professional Coder will be responsible for activities related to Commercial Risk Adjustment, Medicare Advantage Risk Adjustment, Commercial IVA, and Medicare RADV. This role requires maintaining a minimum accuracy of 95% on coding quality audits.
  • Responsibilities: Compile chart review findings statistics, analyze data results, and implement action plans to improve providers’ performance levels
  • Educate new staff on high-quality data abstraction and chart reviews
  • Develop quality assurance processes to ensure data integrity of all submitted diagnoses
  • Evaluate and improve risk adjustment coding programs, policies, and procedures
  • Work closely with inter departmental team management to support coding initiatives
  • Act as a Subject Matter Expert to identify opportunities for business growth
  • Educate management on current changes in regulations/guidance related to ICD-10 coding
  • Collaborate with operations and clinical leadership to identify coding and documentation improvements - Conduct mock audits targeting problematic diagnoses
  • Review medical records for accuracy and compliance with coding guidelines
  • Education Qualification: Current Registered Health Information Technologies (RHIT) or Certified Professional Coder designation from the American Academy of Professional Coders or a Certified Coding Specialist from the American Health Information Management (AHIMA)
  • Bachelor's degree required Required Skills: 5+ years of Medical Coding experience
  • 5+ years of experience in Health Insurance/quality chart audits and/or Utilization Review
  • Proficiency in CPT-4, HCPC, ICD-9/ICD-10 coding
  • Knowledge of medical terminology, procedures, abbreviations, and terms
  • Familiarity with the health care delivery system
  • Ability to utilize a personal computer and relevant software
Job Requirement
  • Risk Adjustment
  • CPT-4
  • HCPC
Reach Out to a Recruiter
  • Recruiter
  • Email
  • Phone
  • Shikha Singh
  • shikha.psingh@collabera.com
This Job is no longer accepting applications
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