Careers
07-32999

Professional Fee Coder - Health Information

Location: Pomona, NJ  |  Position Status: Full Time  |  Position Shift: Days
Minimum Qualifications:
  • High school diploma required.
  • CPC-H OR CCS required.
  • Minimum 7 years of acute healthcare experience required.
  • Excellent coding skills with direct experience in ICD-9, DRG system, data analysis and reporting, as well as a strong working knowledge of disease processes and clinical medicine, are required.
  • Excellent computer skills required, including use of 3M encoder, coding references, acute care abstracting and reporting applications, and Microsoft Office.

The coding coordinator/validator will ensure the accuracy and integrity of ICD-9-CM, CPT, DRG and risk-adjustment factor assignment for the purpose of maintaining compliance with federal and state regulations and compliance guidelines. The coding coordinator will review charts on a monthly basis and maintain an educational plan for each coder. The coding coordinator/validator conducts coding audits and calculates coder accuracy rates for the Outpatient Coder Levels I–III or Inpatient Coder Levels I–III.

The coding coordinator/validator provides 100% review of all medical records for newly hired coders and for performance management cases.

The coding coordinator/validator will review quarterly the PEPPER report to analyze outliers and conduct reviews on those targeted/focused areas as identified on the report. The coding coordinator/validator will perform reviews on any external review referrals.

Audits will be tracked and trended. The coding coordinator/validator will work closely with management to provide the status of reviews and propose topics for coding and clinical documentation improvement opportunity/education needed.

Maintains query tracking tool. Provides feedback to the management staff for improvement and status of queries.

This position supports organizational goals by providing quality customer service, participating in performance improvement efforts and demonstrating a commitment to teamwork and cooperation.

QUALIFICATIONS
  • EDUCATION: High school diploma required. RHIA or RHIT degree preferred.
  • LICENSE/CERTIFICATION: CPC-H OR CCS required.
  • EXPERIENCE: Minimum 7 years of acute healthcare experience required. Excellent coding skills with direct experience in ICD-9, DRG system, data analysis and reporting, as well as a strong working knowledge of disease processes and clinical medicine, are required. Excellent computer skills required, including use of 3M encoder, coding references, acute care abstracting and reporting applications, and Microsoft Office. Proficiency in clinical and administrative applications preferred at time of hire. Incumbents within position will be trained appropriately and then skill will be required for this position within 30–60 days from date of hire.
AtlantiCare is an equal opportunity employer that takes affirmative action to employ and advance in employment individuals without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status or disability.
Amanda Pastore
Talent Acquisition Partner
Applicants only. We are not accepting inquiries or solicitations from recruiters/search firms.

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