Medical Coding Analyst
HealthCare Partners, MSO
Garden City, NY
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JOB DETAILS
SALARY
$65,000–$75,000 Per Year
SKILLS
Analysis Skills, Anatomy, Auditing, Certified Coding Specialist (CCS), Code Reviews, Communication Skills, Content Management Systems (CMS), Current Procedural Terminology (CPT), Documentation, Electronic Medical Records, Health Plan, Healthcare, Healthcare Providers, Healthcare Quality, High School Diploma, ICD-10, Identify Issues, Medicaid, Medical Billing, Medical Coding, Medical Diagnosis, Medical Records, Medical Terminology, Medical Treatment, Medicare, Microsoft Excel, Microsoft Office, Organizational Skills, Outpatient Care, Patient Care, Physiology, Pivot Tables, Presentation/Verbal Skills, Primary Care, Problem Solving Skills, Process Improvement, Quality of Care, Requirements Validation/Verification, Risk, Risk Analysis, Risk Modeling, Service Delivery, Standards of Care, Time Management, Training/Teaching, Writing Skills
LOCATION
Garden City, NY
POSTED
23 days ago
HCP’s vision is to be recognized by members, providers and payers as the organization that delivers unsurpassed excellence in healthcare to the people of New York and their communities. We pride ourselves on selecting the most qualified candidates who reflect HCP’s mission of serving our members by facilitating the delivery of quality care. Interested in joining our successful Garden City Team? We are currently seeking a Coding Analyst!
Position Summary: The Coding Analyst will provide Risk Adjustment/HCC coding and auditing services that include the analysis and translation of medical and clinical diagnoses, procedures, injuries, or illnesses into designated alphanumerical codes. The Medical Coder will summarize audit results and provide feedback and education to the field team and providers regarding documentation needs and requirements.
Essential Position Functions/Responsibilities:
- Review and interpret medical record documentation to identify pertinent diagnoses and procedures and assigns ICD-10 CM and CPT 4 codes accurately and timely to the highest level of specificity based upon physician documentation.
- Verify and ensure the accuracy and completeness of medical records while extracting appropriate and specific ICD-10 CM- CPT and Category II codes.
- Apply relevant Medical Coding Reference, Federal, State, and Professional guidelines to assign and record independent medical code determinations.
- Review coding patterns/trends and provides ongoing consultation to the field Quality/ Network Relations team regarding coding and documentation issues.
- Proactively identifies and communicates problems and opportunities; actively recommends and implements solutions or medical coding process improvements.
- Interpret coding rules and general policies in addition to determining appropriate conclusions.
- Determine valid encounters including legibility and valid signature requirements.
- Provide information or respond to questions from medical coding quality audits.
- Possess and maintain a current and comprehensive understanding of coding rules, changes, and guidelines as defined by the AMA.
- Responsible for consistently meeting established quality and productivity standards.
- Other duties relating to coding projects as assigned.
Qualification Requirements:
Skills, Knowledge, Abilities
- Experience working in medical coding/auditing with experience in Diagnosis coding
- Knowledge of medical terminology including anatomy and physiology...
- HCC and risk adjustment model experience strongly preferred
- Strong background in ICD 10 Coding
- Knowledge and understanding of CPT and CPT II (HCSPCS) codes
- Intermediate level of experience with Microsoft Excel (Pivot table, building chart)
- Strong written and verbal communication and organizational skills
- Must present active AAPC or AHIMA membership ID #
- Proficient with Excel and MS office products
- Demonstrates the ability to perform in a high productivity fast-paced environment.
- Knowledge of ICD-10 CM Guidelines and CMS Risk Adjustment Guidelines
- Knowledge of Risk Adjustment Coding
Training/Education:
- High school diploma or general educational degree (GED), required
- Associate or Bachelor degree in health care discipline, preferred
- Medical coding Credentials through either AAPC or AHIMA (CCS, CCS-P, or CPC) maintained annually, required.
- CRC or CPMA credentials, preferred
- Proficient in navigating an electronic medical record and healthcare billing system
Experience:
- 3+ years’ of inpatient facility coding experience with both quality and productivity requirements
- 3+ years’ of outpatient facility coding Auditing experience is preferred
- 1+ year of inpatient and/or outpatient facility coding experience
- 1+ year of auditing experience preferred
- Knowledge of Risk Adjustment coding
- 1 year of healthcare provider education experience
Base Compensation: $65,000 - $75,000 annual
HealthCare Partners, MSO provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability, or genetics. In addition to federal law requirements, HealthCare Partners, MSO complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.
The above position information is intended to describe the general nature and level of work being performed by the job incumbent(s) and is not to be considered an all-encompassing description of all responsibilities, duties, and skills required.
About the Company
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