
Senior Healthcare Data Specialist
4 days ago
Role Summary
We are seeking a Medical Coder to join our team. As a Medical Coder, you will play a key role in ensuring the accuracy and quality of coded data.
Description:
- Review clinical documentation to assign diagnosis and procedure codes using ICD-10-CM, CPT guidelines.
- Conduct risk adjustment/HCC coding to identify chronic conditions accurately.
- Perform chart audits to evaluate documentation insufficiencies.
- Ensure coded data adhere to payer/regulatory guidelines and internal standards.
- Resolve queries with providers when medical records are unclear.
Key Responsibilities:
- Coding Review: Review clinical documentation to assign appropriate diagnosis and procedure codes using ICD-10-CM, CPT guidelines.
- Risk Adjustment Coding: Conduct risk adjustment/HCC coding to identify and code chronic conditions accurately.
- Chart Audits: Perform chart audits to evaluate documentation insufficiencies and ensure they support code assignments.
- Data Integrity: Ensure that coded data adhere to payer/regulatory guidelines and internal compliance standards.
- Query Resolution: Resolve queries with providers or documentation authors when medical records are unclear or missing needed details.
Requirements:
- Certification: CPC and/or CRC from recognized bodies.
- Education: Graduate preferably in Life Sciences.
- Experience: Typically 1-3 years coding experience in U.S. healthcare.
- Skills: Strong knowledge of medical terminology, anatomy & physiology.
- Coding Systems: Proficiency with ICD-10-CM, CPT, and other coding systems.
What We Offer:
- A competitive compensation package.
- Opportunities for career growth and development.
- A collaborative and dynamic work environment.
If you have a passion for coding and a commitment to excellence, we encourage you to apply for this exciting opportunity.
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