Coder

WellSense Health Plan•Remote,

51d•Remote

About The Position

The Coder manages the day to day responsibilities of chart abstraction, vendor auditing and reporting in accordance with state and federal regulations. The coder will abstract from in-patient and out-patient medical records and record findings via electronic data base and or excel spread sheets. The coder ensures that all claims accurately reflect the appropriate diagnosis information as outlined in the member’s medial record.

Requirements

Current core coding credentials through AHIMA or AAPC (RHIT, CCS, CCS-P, CPC, CIC, etc.)
Strong organizational skills
Technical savvy with high level of competence in basic computer skills, Microsoft Outlook, Word, Excel and Outlook.
Strong written and verbal communication skills
Ability to work independently in a remote environment
Private lockable office space to ensure security of Member PHI
Completion of an accredited medical coding program with current unencumbered credentials.

Nice To Haves

The AAPC CRC (Certified Risk Adjustment Coder) coding certification is highly recommended.

Responsibilities

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.
Ability to code government and state models. This includes code everything projects.
Maintain current knowledge of ICD-10-CM codes, CMS documentation requirements, and state and federal regulations.
Ability to maintain a 95% accuracy rate on all coding projects.
Coders assist with code abstraction and coding quality audits using the Official Coding Guidelines for ICD-9-CM/ICD-10-CM, AHA Coding Clinic Guidance, and in accordance with all state regulations, federal regulations, internal policies, and procedures.