Inpatient/Outpatient Coder
- Employer
- RCM Health Care Services
- Location
- New York, New York
- Salary
- Negotiable
- Posted
- Sep 07, 2024
- Closes
- Sep 10, 2024
- Ref
- 2819793296
- Role Type
- Billing / Coding
- Position Type
- Staff
- Hours
- Full Time
- Practice Setting
- Ambulatory Care / Outpatient
- Work Mode
- Hybrid
- Employment Type
- Permanent
- Organization Type
- Academic, Hospital / Health System
For more than 30 years, this health plan has been committed to building strong relationships with its members and providers to enable New Yorkers to live their healthiest life. They provide the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens, and Staten Island through a comprehensive list of products.
Inpatient / Outpatient Coder - Hybrid
Salary Range: $70,000.00 - $76,000.00 with Generous Union Benefits (Pension Plan)
Position Overview
Conducts coding audits and education for providers with greatest opportunity for improvement.
Ensures medical diagnosis and procedure codes submitted on provider claims are accurate.
Reviews medical records for: physician documentation, clinical evidence that supports the diagnoses, medical necessity of procedures, appropriate setting of care and accurate use of CMS coding guidelines.
Job Description
Identifies trends and inconsistencies in provider documentation and coding practices.
Audits and reviews medical records to determine if the medical record is complete, accurate, and in support of individual patient risk adjustment score accuracy.
Develops curriculum to improve provider coding practices.
Educates providers and their practice staff in coding guidelines.
Works in collaboration with other departments, develop plans and materials that support education and system changes to ensure proper coding is a standard practice for all providers.
Participates in the review and analysis of summary data. Assist with data collection and report generation.
Maintains the confidentiality and security of sensitive information and files.
Minimum Qualifications
Associate degree required.
3-5 years health care experience in a physician group practice or other ambulatory care setting preferred.
1+ years of medical coding experience with demonstrated sustained coding quality.
In-depth knowledge of coding/classification systems appropriate for inpatient, outpatient, APR-DRG/MSDRG and APC/APG prospective payment systems
Demonstrates advanced knowledge of CPT/HCPS/Revenue Code procedure coding, ICD-9/ICD-10 coding principles and practices.
Ability to research authoritative citations related to coding, compliance, and additional reporting requirements.
Demonstrates overall knowledge of claims processing for various insurances both private and government
Licensure and/or Certification Required
Certification as a professional coder (CPC)
INDP
Job Type: Full-time
Pay: $70,000.00 - $76,000.00 per year
Benefits:
401(k)
401(k) matching
Dental insurance
Disability insurance
Flexible spending account
Health insurance
Life insurance
Paid time off
Vision insurance
Schedule:
Monday to Friday
Work Location: Hybrid remote in New York, NY 10004
Inpatient / Outpatient Coder - Hybrid
Salary Range: $70,000.00 - $76,000.00 with Generous Union Benefits (Pension Plan)
Position Overview
Conducts coding audits and education for providers with greatest opportunity for improvement.
Ensures medical diagnosis and procedure codes submitted on provider claims are accurate.
Reviews medical records for: physician documentation, clinical evidence that supports the diagnoses, medical necessity of procedures, appropriate setting of care and accurate use of CMS coding guidelines.
Job Description
Identifies trends and inconsistencies in provider documentation and coding practices.
Audits and reviews medical records to determine if the medical record is complete, accurate, and in support of individual patient risk adjustment score accuracy.
Develops curriculum to improve provider coding practices.
Educates providers and their practice staff in coding guidelines.
Works in collaboration with other departments, develop plans and materials that support education and system changes to ensure proper coding is a standard practice for all providers.
Participates in the review and analysis of summary data. Assist with data collection and report generation.
Maintains the confidentiality and security of sensitive information and files.
Minimum Qualifications
Associate degree required.
3-5 years health care experience in a physician group practice or other ambulatory care setting preferred.
1+ years of medical coding experience with demonstrated sustained coding quality.
In-depth knowledge of coding/classification systems appropriate for inpatient, outpatient, APR-DRG/MSDRG and APC/APG prospective payment systems
Demonstrates advanced knowledge of CPT/HCPS/Revenue Code procedure coding, ICD-9/ICD-10 coding principles and practices.
Ability to research authoritative citations related to coding, compliance, and additional reporting requirements.
Demonstrates overall knowledge of claims processing for various insurances both private and government
Licensure and/or Certification Required
Certification as a professional coder (CPC)
INDP
Job Type: Full-time
Pay: $70,000.00 - $76,000.00 per year
Benefits:
401(k)
401(k) matching
Dental insurance
Disability insurance
Flexible spending account
Health insurance
Life insurance
Paid time off
Vision insurance
Schedule:
Monday to Friday
Work Location: Hybrid remote in New York, NY 10004