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Sr. Professional Coder

Company: US Tech Solutions
Location: Newark
Posted on: February 22, 2021

Job Description:

US Tech Solutions is seeking a "Sr. Professional Coder" for a 6 months Contract-to-Hire position with a client in Newark, NJ 07105Job Poster: Jane DasDescription:--- Seeking a Senior Professional Coder, who will provide services to perform code abstraction using the Official Coding Guidelines for ICD-9-CM/ ICD-10-CM, AHA Coding Clinic Guidance, and in accordance with all state regulations, federal regulations, internal policies, and internal procedures. --- Strong knowledge of risk adjustment, quality assurance audits, chart review, ICD coding, HCC coding, data validation coding and strong experience of reviewing guidelines and coding HCC Risk Adjustment Coders will be involved with activities of code abstraction for the following programs; including but not limited to, Commercial Risk Adjustment, Medicare Advantage Risk Adjustment, Commercial IVA (Initial Validation Audit), and Medicare RADV (Risk Adjustment Data Validation). --- HCC Risk Adjustment Coders are required to maintain minimum 95% accuracy on coding quality audits. Responsibilities: * Compile chart review findings statistics, analyze data results and implement meaningful action plans that improve providers' performance levels.* Educating new staff to produce and maintain high quality data abstraction and chart reviews.* Develop quality assurance processes to ensure data integrity of all submitted diagnoses to regulatory agencies and key stakeholders.* Evaluating and improving the effectiveness of risk adjustment coding programs, policies & procedures and work flow. * Work closely with inter-departmental team management to support coding initiatives related to risk adjustment programs. * Supporting risk adjustment coding initiatives to identify opportunities to enhance and grow business.* Responsible for educating and keeping management informed on current changes in regulations/ guidance related to ICD-10 coding and quality documentation and reporting.* Interface with operations and clinical leadership to assist in identification of coding & documentation improvements and promote best practices.* Conduct mock audits or surveillance activities that target problematic diagnoses as identified by CMS and internal stakeholders.* Can understand and translate CPT, HCPC, ICD-9/ ICD-10 codes for HCC abstraction. * Review medical records for completeness, accuracy and compliance with applicable coding guidelines and regulations.* Maintains department productivity and accuracy standards.Qualifications (Required Skills, Experience and Education) : * Requires current Registered Health Information Technologies (RHIT) or Certified Professional Coder designation from the American Academy of Professional Coders or a Certified Coding Specialist from the American Health Information Management (AHIMA). * Requires 5+ years of Medical Coding experience.* Requires a minimum of 5+ years' experience in Health Insurance/ quality chart audits and/or Utilization Review.* Bachelor's degree required. About US Tech Solutions: Your talent, our opportunities - This is the premise behind US Tech Solutions.You have the skill we have the opportunity. As a team, we work passionately for you to get the right career opportunity across industry verticals and functions. For past sixteen years, leading GlobalCompanies and Fortune 500 come to us to get the right talent. Whether you want to work as full-time, contractor or part-time, technical or non-technical our talent consultants will connect with the right career opportunity globally.Connect with our talent team today.USTECH was founded in 2000 by Manoj Agarwal. Today, we are a global firm offering talent solutions to 150 customers including 20% of Fortune 500 across Financial Services, Healthcare, Life Sciences, Aerospace, Energy, Retail, Telecom, Technology, Manufacturing, and Engineering. We are headquartered in New Jersey with 40 global locations across the USA, Canada, Europe, and India. Deloitte has recognized USTECH as one of the fastest growing private businesses for the past five consecutive years and INC 500 for the past three. We have also been rated "The Top Business in the US" by Diversity Business since 2011. To learn more about how US Tech Solutions visit our website: www.ustechsolutions.com."US Tech is an Equal Opportunity Employer" and "US Citizens & all other parties authorized to work in the US are encouraged to apply." Apply: Interested candidates are requested to send their resume to Jane Das at jane.das@ustechsolutionsinc.com

Keywords: US Tech Solutions, Newark , Sr. Professional Coder, Other , Newark, New Jersey

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