Certified Medical Record Coder

Blue Cross and Blue Shield of Alabama; Birmingham (AL); Remote; USD 45,000 - 60,000; Full time

Job summary

As a Certified Medical Record Coder at a leading insurance company, you will ensure accurate medical coding for our Medicare Advantage members while collaborating with clinical teams. This full-time remote role calls for meticulous attention to detail and effective communication skills, utilizing your knowledge of coding principles and medical terminology.

Qualifications

• 2 years of experience as a Certified Coder.
• Certified Professional Coder (CPC) or equivalent certification required.
• Extensive knowledge of ICD-9/10, CPT coding principles.

Responsibilities

• Review medical records for accurate coding and validation.
• Communicate coding policies and assist with coding issues.
• Document quality of medical records and report coding accuracy.

Skills

Attention to Detail

Communication

Medical Terminology Knowledge

Education

High School Diploma or equivalent

Bachelor’s Degree

Tools

Microsoft Office

Job description

Department Overview

The Quality and Value Based Care area strives to develop a “best in class” service model and experience for our senior population. Our team works closely with other associates and business areas that support Medicare Advantage members in an effort to meet and exceed customer expectations and continue driving toward strategic improvement.

Overview

Department Overview

The Quality and Value Based Care area strives to develop a “best in class” service model and experience for our senior population. Our team works closely with other associates and business areas that support Medicare Advantage members in an effort to meet and exceed customer expectations and continue driving toward strategic improvement.

Primary Responsibilities

The Certified Medical Record Coder is responsible for reviewing medical records from the Blue Cross and Blue Shield of Alabama member population to ensure correct coding, and communicating coding policies and procedures to staff. The primary responsibility of the Coder is the review provider and vendor medical records and health risk assessments to validate data within the medical records for accuracy in diagnosis codes and CPT codes. The Coder will capture diagnosis and CPT codes found within medical records. In addition to diagnosis code and CPT code validation, duties may include assisting with coding issues relating to policy development, documenting quality of medical records and health risk assessments, working with Senior Clinical Analysts to report coding accuracy by provider and responding to complex inquiries that require extensive coding knowledge.

Summary Of Qualifications

• High School Diploma or equivalent
• 2 years of experience as a Certified Coder
• Coding certification which may include one of the following: Certified Professional Coder (CPC), Certified Coding Specialist for Providers (CCS-P), Certified Risk Coder (CRC) Certified Coding Specialist for Hospitals (CCS-H), or Registered Health Information Technician (RHIT)
• Experience in support of projects according to assigned responsibilities
• Demonstrated knowledge of principles involved in professional coding
• Extensive training and knowledge of medical terminology, disease processes, and pharmacology
• Knowledge of Microsoft Office products
• Extensive knowledge of ICD-9/10, CPT, and CMS coding principles and guidelines, specifically Risk and HEDIS knowledge and experience
• Excellent written and verbal communication skills
• Strong attention to detail with excellent organizational skills
• Broad understanding of Medicare guidelines, regulations and claims processing procedures preferred
• Experience in a position researching and validating coding criteria preferred
• Bachelor’s Degree preferred
• Certified Risk Coder (CRC) or Certified Professional Coder (CPC) preferred
  
  

Work Location

The work location for this position will be full-time remote.

Terms and Agreements

By submitting a job application, I attest that all information to the best of my knowledge is true and accurate. Furthermore, I understand that any information provided by me throughout the job application process is subject to verification including, but not limited to work experience, education, assessment (test) and interviews.

We appreciate your interest in Blue Cross and Blue Shield of Alabama 'The Company'. The Company does not discriminate in hiring or employment on the basis of race, color, religion, creed, sex, sexual orientation, gender identity, national origin, age, disability, genetics, status as a disabled or protected veteran, or because of citizenship status in the case of a citizen or intending citizen. No question on this application is intended to secure information to be used for such discrimination.

Blue Cross and Blue Shield of Alabama is an independent licensee of the Blue Cross and Blue Shield Association

Seniority level

• Seniority level

  Entry level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Health Care Provider

• Industries

  Insurance

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