📅 Apr 19, 2016
Review medical records, assign ICD-9-CM and HCC/RxHCC codes, flag unclear documentation, and meet coding quality standards while following official guidelines and HIPAA requirements.
Remote Certified Coder
📅 Apr 19, 2016
ICD-9-cm CodingMedical Record AbstractionCMS HCC Risk AdjustmentRxhcc Coding
📜 Description
- Assign flagged-event codes when documentation is inadequate, ambiguous, or unclear.
- Maintain current knowledge of coding guidelines and reimbursement reporting requirements.
- Review chart assignments daily and report hours worked weekly.
- Escalate work-related concerns through the designated Coder Advocate and clinical operations manager.
🛠️ Requirements
- Active RN or LPN license and/or AHIMA- or AAPC-certified coder credential.
- At least one year of medical coding or abstracting experience; the qualifications also specify one year of certified remote coding experience.
- Extensive knowledge of ICD-9-CM outpatient diagnosis coding; CMS HCC risk-adjustment knowledge is preferred.
- Ability to code from an ICD-9-CM code book without an encoder.
- Strong clinical knowledge of chronic illness diagnosis, treatment, and management.
- Reliability, attention to detail, and ability to meet 24-hour chart turnaround deadlines and QA requirements.
- Computer proficiency and strong organization, communication, interpersonal, customer service, and analytical skills.
- Knowledge of HIPAA and commitment to medical-record privacy, security, and confidentiality.
- Follow ethical coding standards, official coding guidelines, and HIPAA requirements; participate in required testing and training.
✨ Benefits
- Abstract relevant information from medical records and assign ICD-9-CM codes, including HCC and/or RxHCC group assignments.
Full job description
Company Description
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:
1. CMS HCC Risk Adjustment
2. HEDIS
3. Medical Record Reviews (Accreditation)
4. And more
Job Description
These 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).
Responsibilities:
• Abstract 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.
Qualifications:
• Active 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 < or equal to 5 and HCCm < or equal to 5);
• 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.
Qualifications
1 year certified remote coding experience
Additional Information
All your information will be kept confidential according to EEO guidelines.
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