Coding Reviewer

IPRO; Jericho (NY); Sur place; USD 65 000 - 70 000; Plein temps

Résumé du poste

IPRO is seeking a Coding Reviewer to validate and verify coding for independent dispute resolution reviews from external state and federal agencies. The role requires applying coding standards to claims and clinical data, with emphasis on DRG validation and accuracy.

The position is on-site in Jericho, NY, requiring collaboration with technical, medical, analytical and administrative teams. Two years of outpatient coding experience and RHIA/RHIT/CCS/CCS-P certification are strongly preferred.

Qualifications

• Requires RHIA/RHIT/CCS/CCS-P certification.
• Bachelor’s degree in healthcare admin or health information management preferred.
• Minimum two years of outpatient coding experience for billing.

Responsabilités

• Confirm and verify submitted codes for DRG validation.
• Apply national coding standards and regulations to the claims and clinical data.
• Provide subject matter input and support agency-wide projects.
• Other duties as assigned.

Connaissances

Interpersonal skills

Communication skills

Analytical thinking

Teamwork

Independent work

Formation

RHIA/RHIT/CCS/CCS-P certification

Bachelor’s degree in health information management or healthcare admin (preferred)

Outils

Word

Excel

PowerPoint

Description du poste

Requirements

As a Coding Reviewer, you will be responsible for the general coding validation and verification and preparation of independent dispute resolution reviews from external state and federal agencies in accordance with reporting requirements. Duties include but are not limited to:

• Confirm and verify submitted codes for DRG validation.
• Apply national coding standards and regulations to the claims and clinical data.
• Provide subject matter input and support agency-wide projects.
• Other duties as assigned.

Requirements

As a Coding Reviewer, you will be responsible for the general coding validation and verification and preparation of independent dispute resolution reviews from external state and federal agencies in accordance with reporting requirements. Duties include but are not limited to:

• Confirm and verify submitted codes for DRG validation.
• Apply national coding standards and regulations to the claims and clinical data.
• Provide subject matter input and support agency-wide projects.
• Other duties as assigned.

This position requires working on-site at the Jericho, NY office.

Qualifications

• Excellent interpersonal and communication skills, both written and verbal.
• Ability to relate effectively with technical, medical, analytical and administrative personnel.
• Proficiency in EHR applications, office technology, and Microsoft applications including Word, Excel, and PowerPoint.
• Being able to handle sensitive and confidential information.
• Ability to work in a team environment and independently.

Education & Experience

• Licensed Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), or Certified Coding Specialist (CCS)/ Certified Coding Specialist Physician (CCS-P) required.
• Technical knowledge of coding and DRG validation with CPT, HCPCS experience and ICD-10 certification required
• Bachelor’s degree in healthcare administration or health information management preferred.
• Minimum of two (2) years of experience abstracting and coding of outpatient medical records for billing.
• Some experience in utilization reviews preferred.

The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. The annualized salary range for this position is $65,000.00 – $70,000.00. Actual salary range and/or hourly rate depends on a variety of factors including experience, education, credentials, location, and budget.

The salary range listed does not include other forms of compensation or benefits.

IPRO is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or military status, or any other category protected under applicable law.