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We are transforming healthcare to be value-driven, creating a seamless, consumer-centric care experience that maximizes value for all.We believe that all health consumers are entitled to high quality, coordinated healthcare. We uniquely align the interests of health consumers, providers, and payors to make high-quality healthcare accessible and affordable to all populations across the ACA Marketplace, Medicare, and Medicaid.This in an onsite position.The Medical Coder 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),
ROLE RESPONSIBILITIES
- Perform medical record chart review/audits to validate the accuracy of documentation and coding assignment
- Assess EMR workflow and documentation, coding, and data submission processes to identify trends and opportunities to improve quality, efficiency, and productivity
- Educate providers and office staff on documentation and coding guidelines as well as on revenue cycle
- Educate providers and office staff on Recapture and Suspect diagnosis and analysis of data available to Providers to identify these conditions
- Identify and extract CPT, ICD-10-CM, and HCPCS
- Ensure compliance with medical record coding guidelines
- Liaising with Providers and other parties to clarify information and facilitate communication
- Participate in meetings with Providers to answer questions related to documentation and coding
EDUCATION, TRAINING, AND PROFESSIONAL EXPERIENCE
- High school diploma or GED equivalent
- Minimum of 1 year of experience as a medical coder.
- Minimum of 1 year of experience with ICD-10.
- Proficient computer skills using Microsoft Office and EMR systems.
- Excellent communication skills, both verbal and written.
- Strong people skills.
- Outstanding organizational skills.
- Ability to maintain the confidentiality of information.
LICENSURES AND CERTIFICATIONS
- One or more of the following accreditations: CPC, CCS, RHIA
- Risk adjustment and auditing credentials desired: CRC, CPC, CDEO
As an Equal Opportunity Employer, we welcome and employ a diverse employee group committed to meeting the needs of NeueHealth, 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.
