Payer Coding Ops
Job Description:
- Review, analyze, and code diagnostic information in patient medical records according to client-specific project guidelines
- Ensure compliance with ICD-10-CM, DRG coding guidelines, third-party reimbursement policies, regulations, and accreditation guidelines
- Maintain a 95% coding accuracy rate
- Perform other tasks requested by management
- Translate clinical documentation into precise HCC codes reflecting patient health status complexity and severity
- Work on multiple client projects
Requirements:
- Minimum of 2 years' HCC coding experience
- Extensive knowledge of ICD-10
- Knowledge of medical terminology, medical abbreviations, pharmacology, and disease processes
- Ability to work in a fast-paced production environment while maintaining high quality
- Ability to follow instructions, meet deadlines, and work independently
- Excellent written and verbal communication skills
- Ability to work remotely and strong time management skills
- Working knowledge of computer hardware and software for effective, secure data processing
- Must commit to 40 hours weekly
- Ability to work on multiple client projects
- AHIMA certified credentials: RHIA, RHIT, or CCS; or AAPC certified credentials: CPC, CPC-H, COC, CIC, or CRC
- CPC-As are accepted only when the candidate also has a CRC
- This job is not eligible for employment sponsorship
Benefits:
- Post-offer health screenings and proof and/or completion of vaccinations such as flu shot, Tdap, and COVID-19, as required by clients
- Reasonable accommodations for individuals with physical and mental disabilities
- Remote work setting