Senior Coding Professional

6 days ago


Newark, New Jersey, United States Integrated Resources, Inc Full time
About the Role

We are seeking a Senior Professional Coder to join our team at Integrated Resources, Inc. as an Abstraction Specialist.

Job Description

The ideal candidate will have 5+ years of medical coding experience and be proficient in CPT-4, HCPC, ICD-9/ICD-10 coding. They will work closely with our inter-departmental team management to support risk adjustment coding initiatives and identify opportunities to enhance and grow business.

Key Responsibilities
  • Compile chart review findings statistics and analyze data results to implement meaningful action plans that improve providers' performance levels.
  • Educate new staff on producing and maintaining high-quality data abstraction and chart reviews.
  • Develop quality assurance processes to ensure data integrity of all submitted diagnoses to regulatory agencies and key stakeholders.
  • Evaluate and improve the effectiveness of risk adjustment coding programs, policies & procedures, and workflow.
  • Work closely with operations and clinical leadership to assist in identification of coding & documentation improvements and promote best practices.
  • Conduct mock audits or surveillance activities that target problematic diagnoses as identified by CMS and internal stakeholders.
Requirements
  • Current Registered Health Information Technologies (RHIT) or Certified Professional Coder designation from the American Academy of Professional Coders or a Certified Coding Specialist , P from the American Health Information Management (AHIMA).
  • 5+ years of medical coding experience.
  • A minimum of 5+ years' experience in Health Insurance/quality chart audits and/or Utilization Review.
  • Bachelor's degree required.
Benefits

This role offers a competitive salary range of $70,000 - $90,000 per year, depending on experience, plus benefits and opportunities for professional growth and development.

About Us

Integrated Resources, Inc. is a leading provider of healthcare services and solutions. We are committed to delivering high-quality patient care and exceptional service to our clients.



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