Hcc coder Job at Access Healthcare LLC (Chennai)

Coder I - MPG - FT - Days - MSS - Remote Eligible

Memorial is seeking an experienced Medical Coder with a strong background in pro...

Location

United States , Miramar

Salary:

Not provided

Memorial Healthcare System

Expiration Date

Until further notice

Requirements

High School Diploma or Equivalent (Required)
Certified Coding Associate (CCA) - American Health Information Management Association (AHIMA), Certified Coding Specialist (CCS) - American Health Information Management Association (AHIMA), Registered Health Information Administrator (RHIA) - American Health Information Management Association (AHIMA), Registered Health Information Technician (RHIT) - State of Florida (FL), Registered Health Information Technician (RHIT AHIMA) - American Health Information Management Association (AHIMA)
For HIM coder, one (1) year hospital-based outpatient coding experience
For Physician Billing Coder, one (1) year diagnostic/procedural office coding experience with surgical coding experience or six (6) months working within the Memorial Health System
Requires critical thinking skills, effective communication skills, decisive judgment, and the ability to work independently with minimal supervision
Must be able to work in a stressful environment and take appropriate action
Proficient in basic computer skills
Ability to perform job duties using an electronic medical record system
Strong knowledge of anatomy, physiology and medical terminology
Knowledge of coding classification systems and procedures

Job Responsibility

Reviews medical record documentation
May assign codes to medical diagnoses, procedures and modifiers, when applicable, using appropriate coding classifications for assigned areas/record types to ensure proper billing and compliance
For physician billing, collaborates with billing department to ensure all bills are satisfied
For hospital, routes to billing charge entry errors and/or account edits preventing completion of coding and/or billing
Makes appropriate coding corrections, when advised, and follows procedure to notify billing
May assign and sequence basic CPT (Current Procedural Terminology) procedure codes (non-complex), and modifiers based on medical record documentation in accordance with Official Coding Guidelines, CMS regulations, Local Medical Review Policy (LMRP) guidance in encoder software and/or department coding policies and procedures
Using encoder, reviews Ambulatory Payment Classifications (APC) and Enhanced Ambulatory Patient Groups (EAPG) assignments
Reviews Local Coverage Determination (LCD) edits and guidance for codes meeting medical necessity
Researches medical record for any additional diagnoses documented to meet medical necessity
Reviews and validates the accuracy of data in the Admission, Discharge Transfer (ADT) fields following HIM coding procedures and processes

Fulltime

Coder I - Billing & Audit

Reviews medical record documentation. May assign codes to medical diagnoses, pro...

Location

United States , Miramar

Salary:

Not provided

Memorial Healthcare System

Expiration Date

Until further notice

Requirements

High School Diploma or Equivalent
Certified Coding Associate (CCA) - American Health Information Management Association (AHIMA)
Certified Coding Specialist (CCS) - American Health Information Management Association (AHIMA)
Registered Health Information Administrator (RHIA) - American Health Information Management Association (AHIMA)
Registered Health Information Technician (RHIT) - State of Florida (FL)
Registered Health Information Technician (RHIT AHIMA) - American Health Information Management Association (AHIMA)
For HIM coder, one (1) year hospital-based outpatient coding experience
For Physician Billing Coder, one (1) year diagnostic/procedural office coding experience with surgical coding experience or six (6) months working within the Memorial Health System
Critical thinking skills
effective communication skills

Job Responsibility

Reviews medical record documentation
may assign codes to medical diagnoses, procedures and modifiers
enhances and maintains coding knowledge and skills
reviews all appropriate work queues daily to address edits and makes corrections
seeks clarification from healthcare providers or other designated resources
submits daily productivity report to HIM manager
meets and maintains HIM coding quality and productivity standards
attends internal and external educational meetings and seminars
may assign and sequence basic CPT procedure codes and modifiers
reviews Ambulatory Payment Classifications and Enhanced Ambulatory Patient Groups assignments

Fulltime

Risk Adjustment Coding Specialist - VBC Operations and Transformation

Provides thorough concurrent, prospective, and retrospective review of ambulator...

Location

United States , Lewes

Salary:

23.67 - 36.69 USD / Hour

beebe healthcare

Expiration Date

Until further notice

Requirements

Certified Risk Adjustment Coder (CRC) & Certified Coding Specialist (CCS-P), CCS, CPC
Minimum of two years' experience in medical coding
Reliable transportation/Valid Driver's License/Must be able to travel at least 50% of work time

Job Responsibility

Review provider documentation of diagnostic data from medical record to verify that all Medicare Advantage, MSSP and Commercial risk adjustment documentation requirements are met, and to deliver education to providers on either an individual basis or in a group forum
Review medical record information on both a retroactive and prospective basis to identify, assess, monitor, and document claims and encounter coding information as it pertains to Hierarchical Condition Categories (HCC)
Perform code abstraction and/or coding quality audits of medical records to ensure ICD-10-CM codes are accurately assigned and supported by clinical documentation to ensure adherence with CMS Risk Adjustment guidelines
Interacts with physicians regarding coding, billing, documentation policies, procedures, and conflicting/ambiguous or non-specific documentation
Prepare and/or perform auditing analysis and provide feedback on noncompliance issues detected through auditing
Provides ongoing feedback to physicians and other providers regarding coding guidelines and requirements, including education and support for improvement in HCC coding and RAF scoring. Assists with educational in-services for physicians, other providers, and clinic staff relating to clinical documentation compliance related to billing.

What we offer

Sign-on and Referral Bonuses for select positions
Tuition Assistance up to $5,000
Paid Time Off
Long Term Sick accrual
Employer Contribution Plan
Free Short and Long-Term Disability for Full Time employees
Zero copay for drugs on prescription plan for certain conditions
College Bound 529 Savings Plan
Life Insurance
Beebe Perks via Work Advantage

Fulltime

Medical Coder

We are Currently looking for a Medical Coder, this opportunity is a permanent WF...

Location

India , Noida

Salary:

Not provided

Collance

Expiration Date

Until further notice

Requirements

Certification as a Medical Coder from a recognized program (e.g., CPC, CRC)
Previous experience in HCC coding is required
Knowledge of medical terminology and common medical procedures
Strong knowledge of health insurance and medical coding guidelines and laws
Proficient with coding software and electronic health records (EHR)
Attention to detail and accuracy
Ability to communicate effectively, both verbally and in writing
Strong organizational and multitasking skills

Job Responsibility

Review and accurately code the medical records for diagnoses and procedures
Translate medical terminology into a coded form
Check charts and records for accuracy and completeness
Communicate with medical billing specialists to ensure treatment codes are accurately received
Keep abreast of and comply with billing and coding guidelines
Resolve or clarify any codes or procedural conflicts by communicating with doctors or healthcare providers
Ensure all services and procedures have been coded correctly and have supporting diagnoses
Perform coding reviews to ensure all documentation is accurate and precise

Fulltime

Value Based Coder II

The Value Based Coder II is an experienced professional within the Quality Manag...

Location

United States , Houston

Salary:

25.30 - 35.74 USD / Hour

American Nursing Care

Expiration Date

Until further notice

Requirements

Bachelor’s degree in healthcare or equivalent work experience and/or 5 years of related job or industry experience in lieu of degree
Certified Professional Coder (CPC) from AAPC, OR Certified Coding Specialist (CCS) from AHIMA, OR Certified Risk Adjustment Coder (CRC) from AAPC
2+ years of experience in outpatient coding
2+ years focused on risk adjustment and HCC principles
Advanced knowledge of CPT and ICD-10 coding, with significant expertise in HCC coding guidelines and risk adjustment models
Strong understanding of federal and state guidelines on all coding systems and sponsored programs
Proficiency in developing and delivering educational content
Effective interpersonal, communication, and presentation skills (both verbal and written)
Ability to manage multiple priorities and work independently
Computer literacy in medical information systems, records management software, and encoder software

Job Responsibility

Comprehensive Record Review & HCC Expertise: Independently review patient medical record information via population health tools on both a retroactive and prospective basis to identify, assess, monitor, and review network coding opportunities as it pertains to risk adjustment and HCC
Validate the accuracy and completeness of HCC documentation and coding
Advanced Documentation Improvement & Education: Analyze clinical documentation across the network to identify patterns, trends, and opportunities for improvement related to HCC capture
Develop and deliver effective education materials and tools to help network providers improve clinical documentation and support Hierarchical Condition Category coding capture
Provide targeted provider 1:1 education on documentation best practices, HCC guidelines, and risk adjustment principles
Compliance & Regulatory Insight: Continuously monitor and interpret evolving HCC coding guidelines, CMS regulations, and compliance trends within the risk adjustment landscape, applying this knowledge to daily coding and education efforts
Champion a culture of compliance by advocating for best practices and providing robust provider support to ensure CommonSpirit adheres to all federal and coding guidelines pertaining to HCC and risk adjustment
Safeguard medical records and preserve the confidentiality of personal health information through adherence to all relevant policies
Process Improvement & Collaboration: Actively participate in network performance improvement initiatives, offering insights and solutions based on coding expertise
Collaborate with providers and office staff to address documentation deficiencies and coding gaps

What we offer

medical
prescription drug
dental
vision plans
life insurance
paid time off
tuition reimbursement
retirement plan benefit(s) including, but not limited to, 401(k), 403(b), and other defined benefits offerings

Fulltime

HCC Coding Auditor

The HCC Coding Auditor will perform code audits and abstractions using the Offic...

Location

United States , Irving

Salary:

Not provided

CHRISTUS Health

Expiration Date

Until further notice

Requirements

High School diploma or equivalent is required
Excellent verbal and written communication skills
Minimum of 1 year of experience in hospital inpatient/outpatient settings, medical office coding, or risk adjustment coding OR 3+ years of experience in one or more of the following areas: Claims Processing, Insurance Verification, Provider Credentialing, Member Services, Member Enrollment, Medical Records Management, Health Information Management, Medical Assisting, Nursing, Billing, Benefits and Eligibility, or Provider Education
Coding certification from AAPC or AHIMA is required within six (6) months of hire: Certified Professional Coder (CPC)
Certified Professional Coder-Apprentice (CPC-A)
Certified Risk Adjustment Coder (CRC)
Certified Risk Adjustment Coder-Apprentice (CRC-A)
Certified Coding Associate (CCA)
Certified Coding Specialist (CCS)
Registered Health Information Management Technician (RHIT)

Job Responsibility

Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders
Performs Medical Record reviews and audits based on organizational priorities. These can include prospective and concurrent Clinical Documentation Improvement (CDI) workflows and retrospective auditing. Review and audits may lead to the addition, deletion, adjustment, or confirmation of diagnoses for risk adjustment
Performs code abstraction and/or coding quality audits of medical records to ensure ICD-10CM codes are accurately assigned and supported by clinical documentation to ensure adherence with CMS (HCC) Risk Adjustment guidelines
Performs coding quality audits within multiple EMRs, databases, and/or vendor platforms to support employed and independent clinic risk adjustment strategies
Identifies revenue, reimbursement, and provider educational opportunities while complying with state and federal regulations
Prepares and/or performs auditing analysis and provides feedback on noncompliance issues detected through auditing
Complies with all aspects of coding, abides by all ethical standards, and adheres to official coding guidelines
Provides measurable, actionable solutions to providers that will result in improved accuracy for documentation and coding practices to ensure chronic conditions are recaptured annually
Ensures that rendered physician services for claim submission and any subsequent payments are as accurate as possible while complying with regulatory guidelines, including CMS, DHS, and OIG
Assist coding leadership by making recommendations for process improvements to enhance coding quality goals and outcomes further

Fulltime

Delivery Manager – Operations (Coding)

We are hiring a Delivery Manager who is capable of coordinating day-to-day servi...

Location

India , Chennai

Salary:

Not provided

Access Healthcare LLC

Expiration Date

Until further notice

Requirements

Excellent team management and communication skills
Minimum 10 years of work experience
Experience in HCC coding
Certified coder from AAPC or AHIMA

Job Responsibility

Communicate with clients and manage service delivery according to client SLAs
Create and maintain process documentation and update it on a timely basis
Manage operations through end-to-end planning, process document review and root cause analysis
Assist with new team member training, and ensure consistent growth and development
Review overall staff performance, and ensure that all targets for controlling attrition and shrinkage are met
Prepare/maintain management/operational reports and maintain process KPI and dashboard metrics

Trainer - Medical Coding

We are hiring a Trainer - Medical Coding with 3+ years of experience to join our...

Location

India , Chennai

Salary:

Not provided

Access Healthcare LLC

Expiration Date

Until further notice

Requirements

Certified coder from AAPC or AHIMA
Strong analytical skills
Hands-on experience in HCC coding and denial management
Excellent team management and communication skills
Knowledge of the RCM cycle
Minimum 3 years of work experience in training for HCC coding
Good analytic skills and expertise to be proficient in accurately coding medical records utilizing ICD-10-CM, CPT conventions & HCPCS codes
Hands on experience in HCC coding, training and mentoring coders for developing capability on denial management in the organization

Job Responsibility

Follow the training agenda and facilitate the training for HCC Coding
Browse payer guidelines and collate the most accurate information with payer specifics
Interpret medical records of patients in different specialties and able to provide appropriate denial actions for the analysis done
Provide continuous education for given set of clients
Assist in compliance audits internally for all types of HCC coders and auditors
Keep in pace with industry changes in medical coding domain
Report and analyse the trainees and make the client partners ramp up to the speed of the Client and SD/SQ teams

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Hcc coder

Job Description

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