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✨ Other⏳ Part-time📈 Mid Level💰 $25k-65k🇺🇸 USA
3h ago
Neuehealth·about 5 hours ago
WHO WE ARE
NeueHealth is a value-driven healthcare company grounded in the belief that all health consumers are entitled to high-quality, coordinated care. By uniquely aligning the interests of health consumers, providers, and payors, we help to make healthcare accessible and affordable to all populations across the ACA Marketplace, Medicare, and Medicaid.
NeueHealth delivers clinical care to health consumers through our owned clinics – Centrum Health and Premier Medical – as well as unique partnerships with affiliated providers across the country. We also enable providers to succeed in performance-based arrangements through a suite of technology and services scaled centrally and deployed locally. Through our value-driven, consumer-centric approach, we are committed to transforming healthcare and creating a better care experience for all.
TITLE:
Risk Adjustment Coder
FLSA:
LEADER:
Alexi Ruiz – Dir Risk Adjustment
LOCATION:
All Centrum Market
TEAM:
Medical Coding and Billing
DATE:
06/10/2022
SCOPE OF ROLE
The Coder Specialist will work closely with Providers on conducting documentation and coding chart reviews, medical records audits, and provider education. The medical coder will identify and extract Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS), International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM),
To ensure success you need to make judicious decisions on which codes to assign in each instance, and function to a high level of
accuracy. Top applicants are motivated, detail-oriented, and have outstanding people skills.
This is not a remote position and will require associate to commute to Centrum Medical Center locations.
ROLE RESPONSIBILITIES
Responsibilities
% of Time
Perform medical record chart review/audits to validate accuracy of documentation and coding assignment
20
Assess EMR workflow and documentation, coding and data submission processes to identify trends and opportunities to improve quality, efficiency and productivity
15
Educate providers and office staff on documentation and coding guidelines as well as on revenue cycle
15
Educate providers and office staff on Recapture and Suspect diagnosis and analysis of data available to Providers to identify these conditions
10
Identify and extract CPT, ICD-10-CM and HCPCS
10
Ensure compliance with medical record coding guidelines
10
Liaising with Providers and other parties to clarify information and facilitate communication
5
Participate in meetings with Providers to answer questions related to documentation and coding
5
Special Projects
5
Additional duties as assigned and needed
5
EDUCATION, TRAINING, AND PROFESSIONAL EXPERIENCE
High school diploma or GED equivalent
Minimum of 1 year of experience as a medical coder.
Proficient computer skills.
Excellent communication skills, both verbal and written.
Strong people skills.
Outstanding organizational skills.
Ability to maintain the confidentiality of information.
PROFESSIONAL COMPETENCIES
Medical Billers & Coders: 1 year (Required)
ICD-10: 1 year (Required)
LICENSURES AND CERTIFICATIONS
-One or more of the following accreditations: CPC, CCS, RHIA
-Risk adjustment and auditing credentials desire: CRC, CPC, CDEO.
WORK ENVIRONMENT
At a Centrum Health Location. may require travelling to other locations including Corporate office. .
EEO/AFFIRMATIVE ACTION STATEMENT
As an Equal Opportunity/Affirmative Action Employer, we welcome and employ a diverse employee group committed to meeting the needs of Bright Health, our consumers, and the communities we serve. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.