Garden City/NY/USA
New Brunswick, New Jersey
Livingston, New Jersey
Fredericksburg, Virginia
Posted: 24-Feb-23
Location: Lewes, Delaware
Salary: Open
Categories:
Internal Number: 8211
Summary: Working with insurance payors to capture patient chart data for True Performance and quality initiates set by each payor. Read patient charts, retrieve data and upload to as required by insurance payor. Gather member lists that require follow up and appointments and work with office managers to help facilitate patient appointments.
Other information: Minimum of three year experience in coding outpatient ambulatory medical records. Completion of accredited courses in medical terminology, anatomy and physiology, ICD10CM and PCS and CPT coding.
Responsibilities:
Assist with ensuring that the medical record collection, review, and abstractions are complete and compliant in accordance with the quality program specifications and guidelines. Provide ongoing support relative to HEDIS data extraction, data collection and validation. Queries physicians when code assignments are not straightforward or documentation in the medical record is inadequate, ambiguous, or unclear for coding purposes. Clearly explains questions, resulting in correct documentation and code assignment. Keeps abreast of coding guidelines and reporting requirements. Maintains knowledge of coding changes through, seminars and reference materials made available. Assist in coordination of outreach efforts to request, collect, and secure clinical documentation from Primary Care Physician (PCP) and/or Specialist(s) as indicated by HEDIS measures. Brings identified concerns to the Director of Revenue Cycle. Review assigned medical records in order to abstract specified and required clinical data elements for HEDIS reporting. Other duties as assigned.
Credentials:
Essential:
* CCS - Certified Coding Specialist
Competencies and skills:
Essential:
* Clear Communication Skills Both Written And Verbal
* Able To Keep Confidential Information Regarding Patients, Team Members
* Able To Withstand Crisis Situations
* Has Skills To Provides Customer Service To Patients, Team Members And Visitors
* Knowledge And Experience With Electronic Health Records
* Experience Or Completed Courses In Coding
Education:
Essential:
* High school graduate or equivalent
Location: BMG Management
Shift :
FTE: 1.000000
Work Status: Full Time
