Remote
PopHealthCare

Medical Coder

Job Details

Level: Experienced

Job Location: Work From Home

Position Type: 1 – Full-Time (30+hrs)

Education Level: High School

Job Category: Health Care

Description

PopHealthCare is currently seeking a Full-time Certified Medical Coder for Medicare Risk Adjustment. This position is remote. At PopHealthCare, our mission is simple – to lead the effort in reimagining how healthcare is delivered. We are bold innovators, dedicated to making a difference and we hire wicked smart people! We need sharp and nimble people to join our growing team!

Job Summary: The role of the Certified Medical Coder is to review and code medical records in their entirety, assigning appropriate ICD-10-CM codes (as defined by ICD-10-CM Guidelines and CMS) from any/all CMS acceptable documents to be used for financial purposes. Ensures adherence to PopHealthCare and Departmental Policies and Procedures.

Essential Job Functions:

  • Demonstrate knowledge of coding multiple areas of service and/or specialties or extensive experience in a specific specialty deemed a critical business need by PopHealthCare Leadership.
  • Verify and ensure the accuracy, completeness, specificity and appropriateness of diagnosis codes based on services rendered.
  • Accesses several systems via the computer to research the medical record when needed to complete the coding in a timely manner.
  • Responsible for maintaining current knowledge of coding guidelines and relevant federal regulations through the use of current ICD-10-CM materials, HCC risk models and other pertinent materials.
  • Meets and/or exceeds designated productivity set by PopHealthCare Coding Leadership and coding accuracy rate of 95% Accuracy and 95% Completeness.
  • Must be able to continuously work committed schedule in a remote (and secure) setting while maintaining availability to attend any/all mandatory department meetings.
  • Responds timely to email and/or telephonic communications.
  • Enhances professional growth and development through in-service meetings, education programs, conferences, etc.
  • Support and participate in process and quality improvement initiatives
  • Maintain adequate knowledge of coding, compliance and reimbursement procedures related top Medicare Risk Adjustment.
  • Follows all legal and policy requirements for HIPAA protected data.
  • Implementation/Execution: Able to organize and manage multiple priorities and/or projects by using appropriate methodologies, tools and applications.
  • Maintains strictest confidentiality

Qualifications

  • 2 yrs., prior work experience in the healthcare field specifically related to coding is preferred.
  • Must be in good standing with either AAPC and/or AHIMA and hold an active CPC, CRC, CCS, CPC-P, CCS-P or PCS with high degree of competence in this area a plus
  • ICD-10 Proficiency is required.
  • Experience in review/audit of medical records coding and development of process improvement plans required
  • Prior medical chart auditing/quality experience preferred.
  • Advanced knowledge of medical terminology, abbreviations, anatomy and physiology, major disease processes, and pharmacology.
  • Experience with hospital coding is preferred
  • Managed Care methodology experience a plus.
  • National RAD-V experience a plus.
  • Professional demeanor and a strong work ethic, reliable, resourceful, enthusiastic, team player with positive attitude
  • Problem Solving: You are a problem solver with the ability to encourage others in collaborative problem solving.
  • Excellent analytical, written and verbal communication skills, organizational, time management.

PopHealthCare is an equal opportunity/equal access employer fully committed to achieving a diverse workforce.