Certified Medical Coder

Company: Upward Health of Rhode Island PC
Location: Hauppauge
Posted on: March 17, 2023

Job Description:

Job Type
Full-time

Description

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Certified Medical Coder
This role will be responsible for ensuring all coding is the most accurate and specific and encompasses all valid diagnosis codes and services rendered. This individual would report to the Revenue Cycle Manager. There will be a strong focus on accuracy and appropriateness of coding.
We are looking for a detailed oriented and high organized colleague. This individual must be able to manage multiple priorities and have flexibility at our fast-growing company. We want someone who will thrive in a fast-paced environment with a willingness to learn and grow. We also want someone who will be an excellent team player and deliver great service to colleagues. Our providers and other staff are based all over the United States, so we are looking for someone who has the flexibility to communicate effectively - verbally and in writing - with colleagues around the country.
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Key Responsibilities:
- Analyze providers' documentation to select the most specific and accurate diagnosis (ICD-10) and procedure (CPT I and II, HCPCS) codes.
- Ensure compliance with established coding guidelines, third party reimbursement policies, regulations and accreditation guidelines.
- Provide a variety of complex and technical assignments relating to medical coding.
- Maintain reports on a weekly and monthly basis to providers and directly associated staff.
- Communicate with providers and other staff on weekly basis, about outstanding items and required corrections.
- Distribute monthly audit reports and answer any questions or concerns that arise about the reports from providers.
- Train individual providers and staff if needed to specific coding requirements and organize and led formal training sessions for groups of providers on common issues.
- Resolve discrepancies on coding related issues.
- Review and correct rejected claims from various third-party carriers.
- Perform all other coding duties as assigned by management.

Requirements

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Minimum Requirements:
- Minimum 2 years of coding experience required/ Preferred areas of coding: Primary care and/or Behavioral Health
- Education: High school diploma or GED required/ associate degree preferred
- Certification: Certification in Professional Coding (CPC) required/ Certification in Risk Adjustment Coding (CRC) preferred
- Must be proficient in Microsoft Office and Excel
- Work several days per week out of our headquarters in Hauppauge, NY
- Detail oriented in approach to objectives and associated tasks
Knowledge, Skills & Abilities:
- Ability to work in a multi-state practice which deals heavily with telemedicine and home-based care.
- Understanding of how licensures which including, physicians, nurse practitioners and behavioral health specialists impact coding.
- Self-starter, with high energy but also flexibility to shift directions quickly as the business requires it.
- Can effectively multitask across many different tasks to ensure high-priority tasks are completed on-time.
- Ability to work independently and in a highly virtual environment, with colleagues all over the country.
- Strong interpersonal skills to build relationships at multiple levels inside the company and with a wide array of external auditors, who review documentation and provide feedback.
- Open and accepting of suggestions, feedback and new ideas.
- Excellent written and oral communication skills.
- Strong work ethic and a willingness to adhere to a set schedule.
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Upward Health requires all U.S. new hires to be fully vaccinated for COVID-19 prior to the first date of employment. As required by applicable law, Upward Health will consider requests for Reasonable Accommodations.
PI208024963

Keywords: Upward Health of Rhode Island PC, Stamford , Certified Medical Coder, Healthcare , Hauppauge, Connecticut