Certified Medical Record Coder

Davita Inc.; Birmingham (AL); Remote; USD 50,000 - 70,000; Full time

Job summary

A leading healthcare provider seeks a Certified Medical Record Coder to review and ensure accurate coding for Medicare Advantage members. This remote position requires excellent coding knowledge and communication skills. You'll play a vital role in improving patient care by validating medical records for accuracy and compliance.

Qualifications

• 2 years of experience as a Certified Coder with coding certification.
• Extensive knowledge of disease processes, pharmacology, and medical terminology.
• Experience in researching and validating coding criteria preferred.

Responsibilities

• Review medical records for coding accuracy and validate diagnosis and CPT codes.
• Assist with coding issues related to policy development.
• Communicate coding policies and procedures to staff.

Skills

Knowledge of ICD-9/10

Knowledge of CPT coding

Attention to detail

Verbal communication

Written communication

Education

High School Diploma or equivalent

Bachelor's Degree

Tools

Microsoft Office

Job description

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

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