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Senior Professional Coder

Company: The Execu-Search Group
Location: Newark
Posted on: June 23, 2022

Job Description:

A health services organization in New Jersey is currently seeking an experienced Professional Coder for a great Senior-level opportunity with their staff. In this role, the Senior Professional Coder will be responsible for providing 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. Responsibilities:The Senior Professional Coder will:Compile chart review findings statistics, analyze data results and implement meaningful action plans that improve providers' performance levelsEducate new staff to produce and maintain high quality data abstraction and chart reviewsDevelop quality assurance processes to ensure data integrity of all submitted diagnoses to regulatory agencies and key stakeholdersEvaluate and improve the effectiveness of risk adjustment coding programs, policies & procedures and work flowWork closely with inter-departmental team management to support coding initiatives related to risk adjustment programsSupport risk adjustment coding initiatives to identify opportunities to enhance and grow businessEducate and keep management informed on current changes in regulations/guidance related to ICD-10 coding and quality documentation and reportingInterface with the Operations and Clinical leadership to assist in identification of coding & documentation improvements and promote best practicesConduct mock audits or surveillance activities that target problematic diagnoses as identified by CMS and internal stakeholdersReview medical records for completeness, accuracy and compliance with applicable coding guidelines and regulationsMaintain department productivity and accuracy standards.Perform other duties, as neededQualifications:Current Registered Health Information Technologies (RHIT) or Certified Professional Coder designation from the American Academy of Professional Coders or a Certified Coding Specialist , P from the American Health Information Management (AHIMA)5+ years of Medical Coding experience5+ years' experience in Health Insurance/quality chart audits and/or Utilization ReviewBachelor's DegreeExtensive experience with Risk Adjustment Proficiency in the CPT-4, HCPC, ICD-9/ICD-10 codingKnowledge of Medical terminology of Medical procedures, abbreviations and termsKnowledge of the Healthcare delivery systemComputer savvyMicrosoft Office Suite proficient (Excel, Word, etc.)Solid problem solving and time management skillsGreat interpersonal skillsExcellent communication skills (written and verbal)Strong attention to detailHighly organized

Keywords: The Execu-Search Group, Newark , Senior Professional Coder, Other , Newark, New Jersey

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