Remote Certified Coders

Altegra Health

Memphis, TN

JOB DETAILS
SKILLS
Adobe Product Family, Analysis Skills, Auditing, Broadband, Chronic Disease, Clinical Competency, Communication Skills, Computer Skills, Content Management Systems (CMS), Customer Support/Service, Data Analysis, Data Quality, Detail Oriented, Documentation, Forecasting, HIPAA (Health Insurance Portability and Accountability Act), Health Information Management, Healthcare, Healthcare Effectiveness Data and Information Set (HEDIS), ICD-9, ICD-9-CM, Interpersonal Skills, Licensed Practical Nurse/Licensed Vocational Nurse, Medical Coding, Medical Records, Microsoft Internet Explorer Browser, Microsoft Office, Microsoft Windows Operating System, Nursing Credentials, Operations Management, Organizational Development/Management, Organizational Skills, Outpatient Care, Patient Charts, Patient Confidentiality, Presentation/Verbal Skills, Privacy Controls, Quality Assurance, Registered Nurse (RN), Regulations, Regulatory Requirements, Reimbursement Guidelines, Requirements Validation/Verification, Risk, Time Management, Work From Home, Writing Skills
LOCATION
Memphis, TN
POSTED
1 day ago

Altegra Health is a total solutions partner for healthcare data auditing and analytics. Altegra provides end-to-end solutions to help improve payment integrity data, to support accreditation programs, and to meet regulatory requirements. Altegra's nationwide network of registered nurses and certified coders professionally acquire, audit, and analyze healthcare data for healthcare organizations.Altegra Health specializes in:2. HEDIS3. Medical Record Reviews (Accreditation)4. And moreJob DescriptionThese are a remote/home based temporary positions forecast to run through the end of 2015 and Coders will be paid by the chart. Remote Certified Coders review medical records and apply appropriate ICD-9-CM diagnostic codes and Altegra Health Flagged Event. Codes must meet Altegra Health QA standards (following both Official Coding Guidelines and Risk Adjustment Guidelines).ResponsibilitiesAbstract pertinent information from patient medical records. Assign appropriate ICD-9-CM codes, creating HCC and/or RxHCC group assignments as applicable.Assign Altegra Health Flagged Event codes when documentation in the record is inadequate, ambiguous, or otherwise unclear for medical coding purposes.Remain current on medical coding guidelines and reimbursement reporting requirements.Check chart assignments every day and report accurately all hours worked on a weekly basis.Report work-related concerns to assigned Coder Advocate and if not adequately addressed to Sr. Manager of Clinical Operations.Comply with the Standards of Ethical Coding as set forth by the American Health Information Management Association and adhere to official coding guidelines.Comply with HIPAA laws and regulations.Participate in testing and training as required by the Company.QualificationsActive nursing license (RN or LPN) and/or certified coder certification through AHIMA or AAPC required.At least one years' experience as a medical coder/abstractor.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 (24-hour turnaround time on all assigned charts).Personal discipline to work remotely without direct supervision.Exemplary attention to detail and completeness-all medical coders must maintain minimum QA passing requirements based on HCC scoring model(HCCx 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; interpersonal and customer service skills; written and oral communication skills; and analytical skills.Knowledge of HIPAA, recognizing a commitment to privacy, security and confidentiality of all medical chart documentation.Additional InformationAll your information will be kept confidential according to EEO guidelines.#J-18808-Ljbffr

About the Company

A

Altegra Health

Altegra Health™ is a leading provider of business, technology, and consulting solutions that improve healthcare organization performance by aligning individual health status, member benefits and accurate reimbursement.

Our Wellness Continuity® Management solutions enable health plans to gain a deeper understanding of the health of their members and provider networks in order to bring together the right benefits, the right care, and the right reimbursement.

Through our Reimbursement & Advisory Services, we act as a trusted advisor to some of the nation`s most prominent healthcare organizations and health law practices, delivering proven, forward-thinking solutions and real results.
Altegra Health Corporate Mission To help healthcare organizations and their members receive the financial resources and other benefits to which they are entitled, enabling quality care at the right time, leading to improved health at a lower cost, and overall, a better quality of life.
Altegra Health Core Values
  • Maintaining regulatory compliance and data security
  • Creating client, investor and team member value
  • Being market, client and data driven
  • Delivering outstanding client and member service
  • Being accountable and acting with a sense of urgency
  • Providing a safe and rewarding workplace environment
  • Building a stable, quality, motivated workforce
COMPANY SIZE
1,000 to 1,499 employees
INDUSTRY
Healthcare Services
WEBSITE
http://www.altegrahealth.com/