Clinical Quality Coder - Work From Home
Company: Sutter Health
Location: Citrus Heights
Posted on: May 11, 2022
Position Overview: -**This is a work from home position for the
following states: California, Colorado, Florida, Georgia,Nevada,
North Carolina and Texas**Under the general direction from the
Clinical Quality Coding Manager or Lead, conducts review of
outpatient medical records using ICD-10-CM and Current Procedural
Terminology (CPT), Medicare Advantage, ICD-10-CM, and Centers for
Medicare and Medicaid Services (CMS) coding and reporting
guidelines. Performs medical record reviews to ensure accurate
assignment of medical diagnoses and procedures. Responsible for
pre-appointment review of each encounter in scope, including
Medicare Advantage encounters, to ensure accurate reporting of
diagnoses and to alert the physician of potential clinical
conditions that may require review.
-Qualifications:EducationBachelor's degree preferred or equivalent
education/experience. -Licensures and CertificationsCertified
Professional Coder (CPC), Certified Coding Specialist -
Professional (CCS-P) and/or Certified Coding Specialist (CCS)
Certified Risk Adjustment Coder (CRC) -required within 1 year.
Experience3-5 years Professional coding experience required.
Proficient use of grouper software and/or coding reference books to
assign/validate diagnosis codes required.
Skills and Knowledge
--- Advanced knowledge of ICD-10 diagnosis coding conventions and
requirements, knowledge of Quality Coding Program requirements such
as the Medicare Advantage Coding Program/HCC, as well as medical
terminology and abbreviations of disease, illness and injury
--- Proficient use of grouper software and/or coding reference
books to assign/validate diagnosis codes.
--- National Correct Coding Initiative edits, Coding Clinic and CPT
Assignment coding guidelines and the contents of a medical
--- Ability to work independently, as well as be part of the team,
including accomplishing multiple tasks in an environment with
--- Demonstrated strong written and verbal communications skills to
explain sensitive information clearly and professionally.
-Organization:Sutter Health System OfficeEmployee Status:
RegularBenefits: YesPosition Status: Non-ExemptUnion: NoJob Shift:
DayShift Hours:8 Hour ShiftDays of the Week
Scheduled:Monday-FridayWeekend Requirements: NoneSchedule: Full
TimeHrs Per 2wk Pay Period:80Applications Accepted:All Applications
AcceptedSchedule/Shift: Full Time/ Day
Keywords: Sutter Health, Citrus Heights , Clinical Quality Coder - Work From Home, Healthcare , Citrus Heights, California
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