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Outpatient Risk Coder National | Coding Specialist in Technology Job at Mommy Jobs Online in Metai1

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Outpatient Risk Coder National

Location:
Metairie, LA
Description:

This position reports to the Manager of Risk Adjustment Coding. As a member of the Risk Adjustment team, the Outpatient Risk Coder works remotely in collaboration with hospitalists and hospital staff with opportunities for improved quality, risk adjustment coding performance. The Outpatient Risk Coder is a valuable resource in process improvement and identifying clinically appropriate risk adjusting conditions to capture. Must possess the expertise to work autonomously with strong organizational, communication and people skills to support the management of multiple priorities, at multiple practice locations, with significant attention to detail for completion of both verbal and written external communications. ESSENTIAL RESPONSIBILITIES: Review outpatient medical record info on both a retroactive and prospective basis to identify, assess, monitor and document claims and encounter coding details as it pertains to risk adjustment Ensure that the diagnosis codes for each chronic or major medical condition have been captured and submitted within the permitted timeframe Assess adequacy of documentation of claims and query outpatient provider claims to obtain additional medical record documentation or to clarify documentation to ensure accurate and appropriate coding Audit provider documentation ICD-9 and ICD-10 codes to ensure adherence with CMS Risk Adjustment guidelines Participate in departmental and physician network performance improvement initiatives. Safeguards medical records and preserves the confidentiality of personal health info through the observance of physician network policies pertinent to the release of medical record details, record retention, and HIPAA privacy and security. Performs other duties as requested. REQUIRED KNOWLEDGE & SKILLS: Familiarity and understanding of CMS HCC Risk Adjustment coding and data validation requirements. Computer literacy of medical details system, records management software, encoders. Advanced knowledge of CPT and ICD-10 coding required. Proficiency in Microsoft office suite (outlook, microsoft excel, ms word). Knowledge of federal and state guidelines on all coding systems and sponsored programs Professional interpersonal and management skills. Attentive to detail and organization with expertise to work with strict deadlines. Strong interpersonal and communication expertise: able to effectuate areas of opportunity to providers and practices as well as leadership. Strong sense of diplomacy and expertise to work under pressure. EDUCATION/BACKGROUND/LICENSURE/TECHNICAL/OTHER: Min Education: Associate degree in healthcare or equivalent work background. Certified Professional Coder (CPC) or Certified Risk Coder (CRC). Min Background: 2-3 yrs of background in outpatient coding preferred. Compensation: $17 - $30 per hr. To Become A Member: Please visit mommyjobsonline.com and click on Join Now. You will need select the Medical Coding WAH Job Bank Registry to become a lifetime member to get connected with this client to begin their hiring process. Please email us your resume after you register with your requirements and work experience. Please reference agent id code MJOLAMY on your registration submission. Please feel free to consult with us if you have further job related questions about our company at 1 405-418-XXXX.
Company:
Mommy Jobs Online
September 19 on getitllc
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More About this Listing: Outpatient Risk Coder National
Outpatient Risk Coder National is a Technology Coding Specialist Job at Mommy Jobs Online located in Metairie LA. Find other listings like Outpatient Risk Coder National by searching Oodle for Technology Coding Specialist Jobs.