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HCC Certified Coder
Location
New York
Posted
4 days ago
Salary
0
Seniority
Senior
Job Description
HCC Certified Coder
Monogram Health
• The HCC Certified Coder will be responsible for abstracting clinical information and assigning appropriate diagnosis and procedure codes in accordance with nationally recognized coding guidelines • Analyze and translate medical and clinical documentation in alignment with the CMS Risk Adjustment Models • Collaborate closely with the coding team and providers to ensure accurate and compliant documentation and coding practices • Perform coding for patient health assessments • Conduct peer coding quality reviews • Support provider and coding team training and education • Conduct prospective medical chart audits • Perform coding abstraction and medical chart quality audits to ensure clinicians have accurate clinical documentation to support ICD-10 codes • Educate clinicians on coding opportunities identified in chart reviews • Perform accurate and timely coding (CPT, ICD-10, HCPCS, modifiers) • Provide timely correspondence with providers regarding clinical documentation opportunities and queries • Identify trends through data analysis or chart review • Maintain a minimum of 95% coding accuracy and meet established productivity standards • Stay current with regulatory, documentation, and coding guidelines
Job Requirements
- High school Diploma or GED required
- CPC, CRC, CCS, or CCS-P credentials required
- Minimum of three (3) years of experience in Certified Coder role
- Proficiency with Microsoft Word, Excel, PowerPoint, and Electronic Medical Records
- Demonstrate advanced knowledge of medical terminology, anatomy, and physiology
- Experience communicating & working closely with Physicians
- Able to work remotely with proven ability to prioritize tasks, meet goals and deadlines
- Experience in Medicare programs and regulations including fraud and abuse and Risk Adjustment
- Familiar with STARs performance measures and metrics
- Experience with Athena, medical billing, and coding Nephrology are preferred skills
Benefits
- Comprehensive Benefits - Medical, dental, and vision insurance
- employee assistance program
- employer-paid and voluntary life insurance
- disability insurance
- health and flexible spending accounts
- Financial & Retirement Support – Competitive compensation
- 401k with employer match
- financial wellness resources
- Time Off & Leave – Paid holidays
- flexible vacation time/PSSL
- paid parental leave
- Wellness & Growth – Work life assistance resources
- physical wellness perks
- mental health support
- employee referral program
- BenefitHub for employee discounts
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