Medical Coder at Highmark

Remote | Entry-level
Highmark

MEDICAL CODER

  • Job ID: J157472
  • Company: Gateway Health Plan
  • Location: Remote
  • Full/Part Time: Full time
  • Job Type: Day (United States of America)

JOB SUMMARY

This job assigns codes (ICD-9, 10, CPT and HCPCS) which most accurately describe diagnosis, procedures and therapies according to established guidelines. The incumbent is accountable for assigning and sequencing ICD-9 CM/CPT/HCPCS and ICD-10 codes to diagnoses and procedure for the documented information.

ESSENTIAL RESPONSIBILITIES

  • Compile, abstract and maintain patient medical records to document condition and treatment. Actively code diagnoses (ICD-9) based on medical record documentation.
  • Review records for completeness, accuracy and compliance with regulations. Protect the security of medical records to ensure that confidentiality is maintained.
  • Participate in inter-rater reliability testing/peer review exercises, as requested.
  • Other duties as assigned or requested.

QUALIFICATIONS

Minimum

  • Associate degree in medical record technology or 1 year coding diploma
  • Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) or Certified Coding Specialist (CCS) or Certified Professional Coder (CPC)
  • 1 year of coding experience

Preferred

  • Risk adjustment coding experience preferred
  • Medical office experience preferred

Skills

  • Experience with commercial claims and/or medical/surgical products or Medicare advantage or Medicare fee for service program coverage, the Common Procedure Coding System (HCPCS), International Classification of Diseases (ICD-9, ICD-10) information
  • Knowledge of coding International Classification of Diseases, 9th Revision (ICD-9) codes
  • Understands and applies appropriate Centers for Medicare & Medicaid Services (CMS) guidelines to coding
  • Knowledge of anatomy, physiology and medical terminology
  • Coding software familiarity
  • Excellent verbal, math and written communication skills
  • Data entry

SCOPE OF RESPONSIBILITY

Does this role supervise/manage other employees? No

WORK ENVIRONMENT

Is Travel Required? No

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