Professional Coder

Work Mode: 100% Remote (Must live in NY, NJ, DE, PA, or CT states)
Duration: 6 months

Responsibilities:

• 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 a subject matter expert on coding review/guidelines.
• Participate and engage in program improvement discussions and activities.
• Maintain department productivity and accuracy standards.

Requirements:

• 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).
• Minimum 2 years of medical coding experience.
• Minimum 2 years' experience in health insurance/quality chart audits and/or utilization review.
• Bachelor's degree preferred.

Preferred Skills:

• Proficiency in CPT-4, HCPC, ICD-9/ICD-10 coding.
• Knowledge of medical terminology, procedures, abbreviations, and terms.
• Knowledge of the healthcare delivery system.
• Ability to utilize a personal computer and applicable software (e.g., proficiency in Word and Excel).
• Effective verbal and written communication skills and ability to work well within a team.
• Demonstrate professional and ethical business practices, adherence to company standards, and a commitment to personal and professional development.
• Ability to exercise sound judgment and problem-solving skills.
• Ability to ask probing questions and obtain thorough and relevant information.