Remote Certified Coder

These are a remote/home based temporary positions forecast to run through the end of 2015 and Coders will be paid by the chart. Remote Certified Coders review medical records and apply appropriate ICD-9-CM diagnostic codes and Altegra Health Flagged Event. Codes must meet Altegra Health QA standards (following both Official Coding Guidelines and Risk Adjustment Guidelines).

Responsibilities:  

• Abstract pertinent information from patient medical records. Assign appropriate ICD-9-CM codes, creating HCC and/or RxHCC group assignments as applicable.

• Assign Altegra Health Flagged Event codes when documentation in the record is inadequate, ambiguous, or otherwise unclear for medical coding purposes.

• Remain current on medical coding guidelines and reimbursement reporting requirements.

• Check chart assignments every day and report accurately all hours worked on a weekly basis.

• Report work-related concerns to assigned Coder Advocate and if not adequately addressed to Sr. Manager of Clinical Operations. 

• Comply with the Standards of Ethical Coding as set forth by the American Health Information Management Association and adhere to official coding guidelines.

• Comply with HIPAA laws and regulations.

• Participate in testing and training as required by the Company.

Qualifications:  

• Active nursing license (RN or LPN) and/or certified coder certification through AHIMA or AAPC required

• At least one years' experience as a medical coder/abstractor.

• Extensive knowledge of ICD-9-CM outpatient diagnosis coding guidelines (with knowledge and demonstrated understanding of CMS HCC Risk Adjustment coding and data validation requirements is preferred);

• Ability to code using an ICD-9-CM code book (without using an encoder);

• Strong clinical skills related to chronic illness diagnosis, treatment and management;

• Reliability and a commitment to meeting tight deadlines (24-hour turnaround time on all assigned charts);

• Personal discipline to work remotely without direct supervision;

• Exemplary attention to detail and completeness-all medical coders must maintain minimum QA passing requirements based on HCC scoring model(HCCx < or equal to 5 and HCCm < or equal to 5);

• Computer proficiency (including MS Windows, MS Office, and the Internet);

• Must have high-speed Internet access, a home computer with a current Windows operating system, MS Internet Explorer (version 6.0.2 or better), and Adobe 6.0 or better;

• Strong organization skills; interpersonal and customer service skills; written and oral communication skills; and analytical skills;

• Knowledge of HIPAA, recognizing a commitment to privacy, security and confidentiality of all medical chart documentation.

Qualifications

1 year of certified coding experience

Additional Information

All your information will be kept confidential according to EEO guidelines.