Remote Inpatient / Outpatient Coder / CPC

Job ID: 276989    Posted 11/4/2024

LOCATION

Location: New York, New York

JOB TYPE

Job Type: Direct Hire

Remote

Work Site: Remote

CATEGORY

Category: HIM

SKILLS

Skills:

SALARY

Salary Low: $70000 - Salary High: $76000

DURATION

Duration: 2 Weeks

SHIFT

Shift:

POSITION

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.

About Us

With a legacy spanning over 45 years, RCM Health Care Services is a leader in connecting healthcare professionals with rewarding career opportunities. Our foundation is built on cultivating relationships with school districts, setting the stage for our expansion into placing providers across diverse facility types. As we evolved, our expertise diversified across various divisions including School Services, Behavioral Health/ABA, Travel, Nursing, Therapy, HIM, Permanent Placement, Foreign Recruitment, Locums Tenens, and much more.
Our mission is clear: to elevate healthcare standards by empowering talented healthcare professionals and forming strategic partnerships with top-tier healthcare institutions and schools across the country. We proudly hold the Joint Commission Gold Seal of Approval, showcasing our commitment to the highest standards in healthcare.
Our commitment goes beyond filling positions; we actively build careers, foster growth, and make a profound difference in the lives of both our candidates and the patients they serve.