Clinical Quality Coder - Work From Home

Company: Sutter Health
Location: Citrus Heights
Posted on: May 11, 2022

Job Description:

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) required
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 process.
--- 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 record.
--- Ability to work independently, as well as be part of the team, including accomplishing multiple tasks in an environment with interruptions.
--- 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