Job Details

Medical Coder

Job ID 1100

  • Clayton, MO, 63105
  • Fulltime
  • 2 - 5 years experience
  • 49500 - 61900 Annual
  • 26/10/2017
  • Medical , Healthcare , Hospitals
  • 3 of Openings
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Job description

Position Purpose

Audit vendor and internal risk adjustments coding to ensure accuracy and identify and mitigate any risks.

Responsibilities

  • ·         Validate provider, vendor, and internal diagnosis coding for accuracy by reviewing and analyzing samples of coding and claims extract compared to actual medical records

    ·         Review and identify trends in coding discrepancies and notify applicable department for potential training and education

    ·         Determine coding issues and discrepancies and make updates as necessary

    ·         Identify issues, determine impact to risk adjustment models and reports results for various products and services

    ·         Coordinate delete files with leadership from Medicaid, Medicare, and Marketplace and Encounters department

     

    Qualifications:

    ·         High school diploma or equivalent and 2+ years of medical coding.

    ·         Risk adjustment coding or Hierarchical Condition Category (HCC) coding experience in the healthcare industry OR Associate’s degree in health-related field and 1+ years of medical coding.

    ·         Risk adjustment coding or Hierarchical Condition Category (HCC) coding experience in the healthcare industry.

    ·         Experience with various risk adjustment methodology and chart audits.

     

    Licenses/Certifications

    ·         CPC, CPC-H, CPC-P, CCS, CCS-P, RHIT, RHIA or CPMA required.

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