We are currently seeking a Medical Coder to perform ICD9-CM HCC coding of Matrix Health Assessments. This position will review and analyze medical documentation, and assign ICD-9 codes which determine reimbursement and enter ICD9-CM codes into computer tracking system (CATT and/or ACES).
POSITION RESPONSIBILITIES :
Verify and ensure the accuracy, completeness, specificity and appropriateness of diagnosis codes based on services rendered.
Review medical record information to identify all appropriate coding based on CMS HCC categories.
Complete appropriate paperwork/documentation/system entry regarding claim/encounter information.
Support and participate in process and quality improvement initiatives.
Enter codes into computer applications supporting different medical plans(ACES or CATT).
Research codes and medical terminology.
Abstract ICD9-CM codes from handwritten charts and electronic medical records.
Performs other assigned tasks and duties as necessary.
Demonstrated knowledge of ICD-9-CM and CPT coding guidelines, medical terminology, anatomy and physiology.
High School Diploma or GED equivalency.
Certified Medical Coder (CPC, CCA, CCS) with high degree of competence in this area with 2 years experience.
Certified through AAPC or AHIMA
Demonstrate analytical and problem-solving ability regarding barriers to receiving and validating accurate HCC information.
Knowledge of HCC auditing concepts and principles.
Knowledge of legal, regulatory, and policy compliance issues related to medical coding and documentation.
Demonstrated effective verbal and written communication skills.
Strong knowledge and proficiency with the use of of Microsoft Office products (Word, Excel, Outlook, Access) and internet research.
Matrix Medical Network provides medical assessments on the behalf of health plans and medical service providers throughout the United States. Our nurse practitioners personally visit with plan members and patients at their homes and at care facilities. Our experience, people and technology bring together the information that care providers need to deliver better care.