Certified Medical Coder I- PART-TIME

<strong>Working at Advantasure is more than a job &mdash; you&rsquo;re part of a team that is becoming the country&rsquo;s leading healthcare solutions provider.<br /></strong><br /><strong>A career at Advantasure means you&rsquo;ll be part of one of the most dynamic, diversified and innovative healthcare companies in the nation. You&rsquo;ll be helping our clients make their members healthier &mdash; and our communities a better place to call home.</strong>

Glen Allen, USA

Advantasure

<p class="p1"><strong>At Advantasure, we partner with healthcare clients to simplify their operations and accelerate their business success. Powered by our broad expertise and a comprehensive suite of product and service solutions, we help health plans effectively navigate the complexity of healthcare.</strong></p> https://advantasure.com/

keywords: job description,work environment,coding,review,compliance,education,experience,knowledge,communication,skills

Non-Manager

Competitive Compensation and Benefits Package

Overview: <br />Certified MRA Coder I, will perform Retrospective Review to assist healthcare providers in identifying and resolving issues related to incomplete or missing clinical documentation. Increase accuracy, completeness, and compliance with clinical condition documentation to enable providers to deliver quality of care.<br /><br /> <p><strong>WORKING CONDITIONS:</strong></p> <p>Work is performed in an office setting with no unusual hazards. Will work from May &ndash; January each year while being paid for 12 months per year.&nbsp;</p> <p><strong>THIS POSITION CAN BE REMOTE ACROSS THE U.S.!!</strong></p> <p><strong>PART-TIME 29 HOURS PER WEEK. THIS ROLE IS EXPECTED TO END ON OR BEFORE JANUARY 31, 2022.&nbsp;</strong></p>
Responsibilities: <br /> <ul> <li>Ensures compliance with all applicable Federal, State, and/or County laws and regulations related to coding and documentation guidelines for Risk Adjustment.</li> <li>Performs on-site or in-office electronic medical record review to ensure capture of all relevant diagnosis is based on CMS Hierarchical Condition Categories (HCC) conditions that are applicable to Medicare Risk Adjustment reimbursement initiatives.</li> <li>MRA coder will conduct audits to abstract data not submitted by providers.</li> <li>Reviews medical records, patient medical history, and physical exams, physician orders, progress notes, consultation reports, diagnostic reports, operative and pathology reports, and discharge summaries</li> <li>Focus on retrospective coding to close HCC gaps and add HCC codes not reported.</li> <li>Ensure diagnosis codes are supported by the documentation and ensure adherence with ICD-10CM Guidelines for Coding and Reporting.</li> <li>Ensure diagnosis codes for each chronic or major medical condition have been captured and submitted within the permitted timeframe.</li> </ul>
Requirements: <br /> <p><strong>EDUCATION:</strong></p> <ul> <li>High School degree or equivalent required.&nbsp;</li> <li>Bachelor&rsquo;s degree in a related field preferred.&nbsp;</li> <li>Successful completion of a coding license or certificates; CPC, COC, CRC, CCS, or RHIT.&nbsp;</li> <li>Continuous learning, as defined by the Company&rsquo;s learning philosophy, is required.&nbsp;</li> <li>Certification or progress toward certification is highly preferred and encouraged.</li> </ul> <br /> <p><strong>EXPERIENCE:</strong></p> <ul> <li>One (1) year of professional coding experience.&nbsp;</li> <li>Experience and understanding of CMS HCC Risk Adjustment coding and data validation requirements.&nbsp;&nbsp;</li> <li>Successful completion of a coding certificate program.</li> <li>CPC, COC, CRC from AAPC or CCS-P, CCS, RHIT from AHIMA.&nbsp;</li> <li>Initial demonstration and maintenance of continuing education/membership are required.</li> </ul> <br /> <p><strong>SKILLS/KNOWLEDGE/ABILITIES (SKA) REQUIRED:</strong></p> <ul> <li>Excellent organization and problem-solving skills.</li> <li>Strong oral and written communication skills.</li> <li>Advanced understanding of medical terminology, pharmacology, body systems/anatomy, physiology, and concepts of disease processes.</li> <li>Extensive knowledge of ICD-9CM and ICD-10CM coding guidelines.</li> <li>Advanced technical skills for use of MS Office (Excel, Word, Outlook, and PowerPoint) as demonstrated through successful completion of a skills test.</li> <li>Demonstrated ability to utilize a variety of electronic medical records systems.</li> <li>Ability to manage a significant workload, and to work efficiently under pressure, while meeting established deadlines with minimal supervision.</li> <li>Demonstrated ability to communicate clearly and effectively with a wide variety of individuals at all levels of the organization.</li> <li>Strong time management skills.</li> <li>Must possess a high degree of accuracy, efficiency, and dependability.</li> <li>Excellent written and oral communication for representation of clear and concise results.</li> </ul>