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Posted: Sunday, February 18, 2018 6:36 AM

Job Description
Currently, CareMount Medical is looking to hire a HCC Coder for our healthcare organization for a full:time position. We provide excellent pay, benefits and growth. If you fit the qualifications, apply now
Position Overview: An HCC coder audits medical provider clinical documentation while adhering to Medicare Advantage Plan regulations and Risk Adjustment (RAF) guidelines. This is an office:based position.
1. Reviews documentation to assign correct HCC codes for reimbursement.
2. Identifies areas for documentation improvement and effectively communicates with providers and staff. Performs in a professional manner, exercising good judgment and ethical standards.
3. Interacts effectively and builds respectful working relationships across the organization.
4. Demonstrates integrity by adhering to high standards of personal and professional conduct.
5. Must be reliable and have the ability to maintain a high level of confidentiality within all aspects of job performance.
Essential Functions:
* Performs coding services while meeting daily production and quality goals
* Performs audit activities including review of medical chart coding and billing documentation
* Partners with providers and staff to improve quality and efficiencies in coding and documentation of provider claims which involves educating and coaching on compliant coding practices and risk adjustment guidelines
* Maintains excellent documentation of all reviews, methodologies employed, results and corrective actions implemented and monitored
* Appropriately uses HCC principles set forth by Medicare Advantage plans to evaluate and assign correct codes
* Reviews CMS and insurance bulletins, newsletters and periodicals to maintain policies and stay abreast of current coding issues, trends and changes
* Understands and adheres to The Health Insurance Portability and Accountability Act (HIPPA) and CMS Coding requirements
* Maintains knowledge of policies and procedures and performs in accordance with the ACPs policies and procedures, applicable regulatory requirements, external laws and accreditation standards
* Facilitates and supports a culture of compliance, ethics and integrity
* Maintains professional certifications
* Performs other duties and responsibilities as required
* Minimum 2 years experience within Radiology department or Radiology experience within related health organization /group.
* Experience and knowledge of HCC coding
* Certified Professional Coder (CPC) certification
* Advanced knowledge of ICD:9, ICD:10, CPT and HCPCS
* Thorough understanding of healthcare compliance with experience in auditing E/M services and providing professional constructive feedback in regard to billing and documentation practices
* Thorough understanding of Medicare/Medicaid billing regulations and documentation guidelines
* Strong knowledge of chart
auditing/abstracting process
* Effective communication, relationship:building and interpersonal skills
* Exceptional attention to detail and proficiency in Microsoft Word and Excel
All qualified applicants will receive consideration for employment without regard to race, ethnicity, color, religion, sex, gender identity, sexual orientation, national origin, disability, or protected veteran status. CareMount is an EO employer :
Company Description
Company Overview:
CareMount Medical, P.C. is the largest independent multispecialty medical group in New York State, providing comprehensive medical care of the highest quality to over 550,000 patients in 43 locations throughout Westchester, Putnam, Dutchess, Columbia, and Ulster counties. Founded in 1946 as Mount Kisco Medical Group, CareMount has grown to over 525 physicians and advanced practice professionals representing 40 different medical specialties. CareMount is affiliated with world:class organizations including the Massachusetts General Hospital, Mount Sinai Health System, and Me


• Location: Westchester

• Post ID: 159071777 westchester is an interactive computer service that enables access by multiple users and should not be treated as the publisher or speaker of any information provided by another information content provider. © 2018