Remote Certified Coder

Altegra Health; Dallas (TX); Remote; USD 60,000 - 80,000; Full time

Job summary

Altegra Health is looking for remote Certified Coders to review medical records and assign appropriate ICD-9-CM codes. The ideal candidate will have an active nursing license or coding certification and extensive experience with outpatient diagnosis coding guidelines.

Your responsibilities will include abstracting pertinent patient information, ensuring compliance with coding standards, and maintaining quality assurance in chart assignments. This role demands strong attention to detail and the ability to work independently.

Qualifications

• Active nursing license or certified coder certification required.
• At least one year of experience as a medical coder.
• Strong knowledge of ICD-9-CM outpatient diagnosis coding guidelines.

Responsibilities

• Abstract information from patient medical records and assign ICD-9-CM codes.
• Ensure documentation meets coding guidelines and QA standards.
• Participate in testing and training as required by the company.

Skills

ICD-9-CM coding

Healthcare auditing

Attention to detail

Interpersonal skills

Time management

Education

Active nursing license (RN or LPN)

Certified coder certification (AHIMA or AAPC)

Tools

MS Windows

MS Office

Internet

Job description

Altegra Health is a total solutions partner for healthcare data auditing and analytics. Altegra provides end-to-end solutions to help improve payment integrity data, to support accreditation programs, and to meet regulatory requirements. Altegra's nationwide network of registered nurses and certified coders professionally acquire, audit, and analyze healthcare data for healthcare organizations.

Altegra Health specializes in:

• 2. HEDIS
• 3. Medical Record Reviews (Accreditation)
• 4. And more

Job Description

These are a remote/home based temporary positions forecast to run through the end of 2015 and Coders will be paid by the chart. Remote Certified Coders review medical records and apply appropriate ICD-9-CM diagnostic codes and Altegra Health Flagged Event. Codes must meet Altegra Health QA standards (following both Official Coding Guidelines and Risk Adjustment Guidelines).

Responsibilities

• Abstract pertinent information from patient medical records. Assign appropriate ICD-9-CM codes, creating HCC and/or RxHCC group assignments as applicable.
• Assign Altegra Health Flagged Event codes when documentation in the record is inadequate, ambiguous, or otherwise unclear for medical coding purposes.
• Remain current on medical coding guidelines and reimbursement reporting requirements.
• Check chart assignments every day and report accurately all hours worked on a weekly basis.
• Report work-related concerns to assigned Coder Advocate and if not adequately addressed to Sr. Manager of Clinical Operations.
• Comply with the Standards of Ethical Coding as set forth by the American Health Information Management Association and adhere to official coding guidelines.
• Comply with HIPAA laws and regulations.
• Participate in testing and training as required by the Company.

Qualifications

• Active nursing license (RN or LPN) and/or certified coder certification through AHIMA or AAPC required.
• At least one years' experience as a medical coder/abstractor.
• Extensive knowledge of ICD-9-CM outpatient diagnosis coding guidelines (with knowledge and demonstrated understanding of CMS HCC Risk Adjustment coding and data validation requirements is preferred).
• Ability to code using an ICD-9-CM code book (without using an encoder).
• Strong clinical skills related to chronic illness diagnosis, treatment and management.
• Reliability and a commitment to meeting tight deadlines (24-hour turnaround time on all assigned charts).
• Personal discipline to work remotely without direct supervision.
• Exemplary attention to detail and completeness-all medical coders must maintain minimum QA passing requirements based on HCC scoring model(HCCx < or equal to 5 and HCCm < or equal to 5).
• Computer proficiency (including MS Windows, MS Office, and the Internet).
• Must have high-speed Internet access, a home computer with a current Windows operating system, MS Internet Explorer (version 6.0.2 or better), and Adobe 6.0 or better.
• Strong organization skills; interpersonal and customer service skills; written and oral communication skills; and analytical skills.
• Knowledge of HIPAA, recognizing a commitment to privacy, security and confidentiality of all medical chart documentation.

Additional Information

All your information will be kept confidential according to EEO guidelines.