Remote Inpatient / Outpatient Coder / CPC
Job ID: 276989 Posted 11/4/2024
Location: New York, New York
Job Type: Direct Hire
Work Site: Remote
Category: HIM
Skills:
Salary Low: $70000 - Salary High: $76000
Duration: 2 Weeks
Shift:
Position: 276989
Job Description
Remote Inpatient / Outpatient Coder / CPC
Candidates will only be considered for this Remote Role if they have:
- Strong Inpatient and Outpatient Coding Experience
- Are a certified professional coder / CPC
For more than 30 years, this health plan has been committed to building strong relationships with its members and providers to enable New Yorkers to live their healthiest life. They provide the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens, and Staten Island through a comprehensive list of products.
Inpatient / Outpatient Coder – Remote
Salary Range: $70,000.00 – $76,000.00 with Generous Union Benefits (Pension Plan)
Position Overview
- Conducts coding audits and education for providers with greatest opportunity for improvement.
- Ensures medical diagnosis and procedure codes submitted on provider claims are accurate.
- Reviews medical records for: physician documentation, clinical evidence that supports the diagnoses, medical necessity of procedures, appropriate setting of care and accurate use of CMS coding guidelines.
Job Description
- Identifies trends and inconsistencies in provider documentation and coding practices.
- Audits and reviews medical records to determine if the medical record is complete, accurate, and in support of individual patient risk adjustment score accuracy.
- Develops curriculum to improve provider coding practices.
- Educates providers and their practice staff in coding guidelines.
- Works in collaboration with other departments, develop plans and materials that support education and system changes to ensure proper coding is a standard practice for all providers.
- Participates in the review and analysis of summary data. Assist with data collection and report generation.
- Maintains the confidentiality and security of sensitive information and files.
Minimum Qualifications
- Associate degree required.
- 3-5 years health care experience in a physician group practice or other ambulatory care setting preferred.
- 1+ years of medical coding experience with demonstrated sustained coding quality.
- In-depth knowledge of coding/classification systems appropriate for inpatient, outpatient, APR-DRG/MSDRG and APC/APG prospective payment systems
- Demonstrates advanced knowledge of CPT/HCPS/Revenue Code procedure coding, ICD-9/ICD-10 coding principles and practices.
- Ability to research authoritative citations related to coding, compliance, and additional reporting requirements.
- Demonstrates overall knowledge of claims processing for various insurances both private and government
Licensure and/or Certification Required
- Certification as a professional coder (CPC)
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Why Us?
At RCM Health Care Services, we redefine healthcare staffing, creating an environment where your career thrives and flourishes. Our commitment to your success is woven into the fabric of our culture, offering diverse opportunities for both seasoned professionals seeking challenges and newcomers ready to make their mark. As a part of the RCM family, you'll experience more than just a job – you'll find a platform for continuous growth and fulfillment.
We have cultivated an ecosystem where healthcare professionals not only find rewarding career opportunities but also a community that values their skills and dedication. Your success is our priority, and our collaborative environment ensures you're never alone on your professional journey. Competitive salaries and comprehensive benefits reflect our dedication to your well-being, allowing you to focus on what matters most – delivering exceptional care. Join RCM Health Care Services, a trusted partner with a proven track record since 1975 and embark on a journey where your path to a fulfilling healthcare career truly begins.