Hedis Coder/Abstractor

1 month ago

Brest, Bretagne, United States PSG Global Solutions Careers Full time
Job Opportunity:

We're seeking a skilled Hedis Coder/Abstractor to join our team at PSG Global Solutions Careers. As a key member of our Insurance industry team in South Carolina, you'll play a crucial role in reviewing medical records and extracting relevant data for HEDIS reporting.

Responsibilities:
  • Review medical records and document clinical data for HEDIS reporting.
  • Identify and extract relevant details and data within clinical documentation.
  • Utilize resources and reference materials to identify appropriate medical codes.
  • Apply understanding of relevant medical coding subject areas to assign medical codes.
  • Apply basic anatomy and physiology to interpret clinical documentation.
  • Identify areas in clinical documentation that are unclear or incomplete and generate queries.
  • Follow up with providers as necessary.
  • Utilize medical coding software programs to identify appropriate codes.
  • Read and interpret medical coding rules and guidelines.
  • Assist with ensuring medical record collection, review, and abstractions are complete and compliant.
  • Apply post-query response to make final determinations.
  • Make determinations on medical charting and take initiative to complete reviews independently.
  • Apply relevant Medical Coding Reference, Federal, State, and Professional guidelines to assign and record medical code determinations.
  • Record information, analyze data, or communicate with others.
  • Utilize and navigate across clinical software applications.
Requirements:

To be successful in this role, you'll need:
  • High school education or equivalent experience.
  • 2+ years of experience supporting HEDIS and/or quality improvement, and medical coding.
  • Active CPC, CRC, RHIT, RHIA Coding Certification (AAPC) or CCS Certification (AHIMA).
About Our Client:

Our client is a fast-growing industry-recognized staffing firm with 20+ years' experience and growth. They specialize in recruiting critical IT, Financial, Engineering, Healthcare, and Data Analytics talent. With connections in various industries, they aim to bring top talent together with premier organizations.