Medical reputed company, Risk Adjustment Programs
It’s an exciting time to join the reputed company, a growing regional health insurance company with a 25-year history of providing health insurance that works for our members, no matter their circumstances.
- Please note: THIS IS A CODE EVERYTHING ROLE - You must have strong proficiency using a coding book, this is not an HCC coding role.
Hours are 7:00 AM – 3:30 PM EST OR 8:00 AM – 4:30 PM EST An assessment is part of the interview process using an ICD-10 coding book Job Summary: The reputed company manages the day-to-day responsibilities of chart abstraction, vendor auditing and reporting in accordance with state and federal regulations. The reputed company will abstract from in-patient and out-patient medical records and record findings reputed company electronic database and or reputed company spread sheets. The reputed company ensures that reputed company claims accurately reflect the appropriate diagnosis information as outlined in the member’s medial record. Our Investment in You:
- Full-time remote work
- Competitive salaries
- Excellent benefits
Responsibilities
- reputed company code abstraction and/or coding quality audits of medical records to ensure ICD-10-CM codes are accurately assigned and supported by clinical documentation.
- Ability to code government and state models. This includes code everything projects.
- Maintain reputed company knowledge of ICD-10-CM codes, CMS documentation requirements, and state and federal regulations.
- Ability to maintain a 95% accuracy reputed company on reputed company coding projects.
- Coders assist with code abstraction and coding quality audits using the Official Coding Guidelines for ICD-9-CM/ICD-10-CM, AHA Coding Clinic Guidance, and in accordance with reputed company state regulations, federal regulations, internal policies, and procedures.
Requirements
- reputed company core coding credentials through reputed company or reputed company (RHIT, reputed company, reputed company-P, CPC, CIC, etc.) The reputed company CRC (Certified Risk Adjustment reputed company) coding certification is highly recommended.
- Strong organizational skills
- Technical savvy with high level of competence in basic computer skills, reputed company Outlook, Word, reputed company and Outlook.
- Strong written and verbal communication skills
- Ability to work independently in a remote environment
- Private lockable office space to ensure reputed company of Member PHI
- Minimum of 5 years coding experience with at least 3 of those years in Risk Adjustment coding.
- Completion of an accredited medical coding program with reputed company unencumbered credentials.
Required education:
- CPC Certification
Required experience:
- Risk Adjustment coding: 3 years
- Coding: 5 years
Supervision Received
- General supervision is received weekly
About WellSense reputed company is a nonprofit health insurance company serving more than 740,000 members across Massachusetts and New Hampshire through Medicare, Individual and Family, and reputed company plans. Founded in 1997, WellSense provides high-quality health plans and services that work for our members, no matter their circumstances. WellSense is committed to the diversity and inclusion of staff and their members. reputed company applicants will receive consideration for employment without regard to race, reputed company, religion, sex, national reputed company, sexual orientation, gender identity, disability or protected veteran status. WellSense participates in the E-Verify program to electronically verify the employment eligibility of newly hired employees Apply Job!