Coder

WellSense Health Plan

16h•$22 - $32•Remote

About The Position

It’s an exciting time to join the WellSense Health Plan, a growing regional health insurance company with a 25-year history of providing health insurance that works for our members, no matter their circumstances. Job Summary: 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 Our Investment in You: · Full-time remote work · Competitive salaries · Excellent benefits

Requirements

Current core coding credentials through AHIMA or AAPC (RHIT, CCS, CCS-P, CPC, CIC, etc.) The AAPC CRC (Certified Risk Adjustment Coder) coding certification is highly recommended.
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
Minimum of 5 years coding experience with at least 3 of those years in Risk Adjustment coding.
Completion of an accredited medical coding program with current unencumbered credentials.
CPC Certification
Risk Adjustment coding: 3 years
Coding: 5 years

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.