Contractor Certified Medical Coder
BCVS Group is hiring a remote Contractor Certified Medical Coder. The career level for this job opening is Experienced and is accepting USA based applicants remotely. Read complete job description before applying.
BCVS Group
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Minimum Requirement:- 5 year of HCC or Risk adjustment experience
Reviewing patients' medical records to identify diagnoses and procedures performed. Assigning accurate medical codes for diagnoses, treatments, and procedures according to the appropriate classification system. In addition to abstracting diagnosis codes, the Clinical Review Specialist also audits medical records and validates entries that have been submitted to CMS.
RESPONSIBILITIES:
•Conducts audits of medical records (paper, EMR, hybrid)
•Adheres to compliance of Medicare, Medicaid, and Commercial risk adjustment guidelines with precision.
•Understands, respects, and applies client specific guidelines
•Adheres to audit and medical record review schedules to meet client expectations and government-regulated deadlines
•Regularly participates in peer review; provide and receive feedback
•Ensures accurate documentation to support all audits
•Assures adherence to and currency with internal and external regulatory guidelines:
•CMS/HHS
•DOH
•HIPAA, HITECH, and Fraud Waste & Abuse
•Medical coding protocols
•Maintain coding credentials as required by credentialing agency
REQUIREMENTS:
•Coding Certification: CPC, CCS, CRC, RHIT, or RHIA
•Possess at least 5 years of experience of with ICD-10, CPT and HCPC coding systems
Expected hours: 40 per week
Experience:
- HCC Coding: 5 years (Required)
- Risk Adjustment: 5 years (Required)
License/Certification:
- CPC, CCS, CRC, RHIT, or RHIA (Preferred)