Professional Coder I

5 days ago

Newark, United States Axelon Services Corporation Full time

Job Title: Professional Coder I Position: Fully Remote Note: Potential temp-perm so must be local to client location Description Summary: Accountable for accurately reviewing, interpreting, auditing, coding, and analyzing medical record documentation for diagnosis accuracy, correct documentation, and Hierarchical Coding Condition (HCC) abstraction. Review may include inpatient, outpatient treatment and/or professional medical services, according to ICD-9/ICD-10 CM coding guidelines and risk adjustment model regulations. Supports Annual Commercial (ACA) and Medicare Advantage Risk Adjustment Data Validation Audits (RADV) along with the annual Risk Adjustment life cycle for the Medicare, Medicaid, and Commercial lines of business. Responsibilities: Understand and translate CPT, HCPC, ICD-9/ICD-10 codes for HCC abstraction. Review medical records for completeness, accuracy, and compliance with applicable coding guidelines and regulations. Identify, compile, and code member/patient data using ICD-9/ICD-10-CM and other standard classification coding systems. Support the collection and distribution of documentation and coding improvement tools for designated practice units as applicable. Support educational activities for internal stakeholders as necessary as subject matter expert on coding review/guidelines. Actively participate & engage in program improvement discussions and activities. Maintain department productivity and accuracy standards. Qualifications: 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). 2 - 5 years of Medical Coding experience. Minimum of 2 years’ experience in Health Insurance/quality chart audits and/or Utilization Review. Bachelor's degree preferred. Knowledge: Proficiency in the CPT-4, HCPC, ICD-9/ICD-10 coding. Knowledge of medical terminology, medical procedures, abbreviations, and terms. Knowledge of the healthcare delivery system. Skills and Abilities: Ability to utilize a personal computer and applicable software (e.g., proficiency in Word and Excel). Effective verbal and written communication skills and the ability to work well within a team. Demonstrate professional and ethical business practices, adherence to company standards, and a commitment to personal and professional development. Proven ability to exercise sound judgment and problem-solving skills. Proven ability to ask probing questions and obtain thorough and relevant information.

  • Professional Coder I

    2 weeks ago

    Newark, United States Axelon Services Corporation Full time

    Job Title: Professional Coder I Position: Fully Remote Note: Potential temp-perm so must be local to client location Description Summary: Accountable for accurately reviewing, interpreting, auditing, coding, and analyzing medical record documentation for diagnosis accuracy, correct documentation, and Hierarchical Coding Condition (HCC) abstraction. Review...

  • Professional Coder I

    3 weeks ago

    Newark, NJ, United States Axelon Services Corporation Full time

    Job Title:  Professional Coder I Have you got what it takes to succeed The following information should be read carefully by all candidates. Position: Fully Remote Note: Potential temp-perm so must be local to client location Description Summary: Accountable for accurately reviewing, interpreting, auditing, coding, and analyzing medical record documentation...

  • Professional Coder I

    3 weeks ago

    Newark, United States Axelon Services Corporation Full time

    Job Title: Professional Coder IHave you got what it takes to succeed The following information should be read carefully by all candidates. Position: Fully Remote Note: Potential temp-perm so must be local to client location Description Summary: Accountable for accurately reviewing, interpreting, auditing, coding, and analyzing medical record documentation...

  • Medical Coder

    6 days ago

    Newark, Delaware, United States eTeam Full time

    Job Title: Professional CoderLocation: Newark, NJ 07105/ HybridPay Rate: $39/hr on W2Duration: 6 Months (Possibility of Extension)Description:This position is accountable for accurately reviewing, interpreting, auditing, coding and analyzing medical record documentation for diagnosis accuracy, correct documentation, and Hierarchical Coding Condition (HCC)...

  • Sr Risk Adjustment Coder

    5 days ago

    Gateway Blvd - NEWARK, United States University Healthcare Alliance Full time

    If you're ready to be part of our legacy of hope and innovation, we encourage you to take the first step and explore our current job openings. Your best is waiting to be discovered. Day - 08 Hour (United States of America)This is a Stanford Health Care - University Healthcare Alliance job.A Brief OverviewThe Senior Risk Adjustment Coder will perform code...

  • PROVIDER LIAISON

    22 hours ago

    Newark, Delaware, United States Integrated Resources Full time

    Company Description A Few Words About UsIntegrated Resources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected professional specialty firms. IRI has built its reputation on excellent service and integrity since its inception in 1996. Our mission centers on delivering only the best quality talent, the first time and every...

  • Direct Support Professional

    2 weeks ago

    Newark, United States The Arc Wayne Full time

    Now Hiring - Direct Support Professional"The best thing about this job is the rewarding feeling I get in knowing that what I do every day helps make a difference in someone else's day. " - Resident Team MemberWhy Join Our Team:The Arc Wayne, a parent-based organization, advocates for and supports persons of all ages with or without disabilities. We assist...

  • Direct Support Professional

    2 weeks ago

    Newark, New York, United States The Arc Wayne Full time $35,136 - $47,313 per year

    Now Hiring - Direct Support Professional"The best thing about this job is the rewarding feeling I get in knowing that what I do every day helps make a difference in someone else's day. " - Resident Team MemberWhy Join Our Team:The Arc Wayne, a parent-based organization, advocates for and supports persons of all ages with or without disabilities. We assist...

  • Pharmacist I

    2 weeks ago

    Newark, NJ, United States RWJBarnabas Health Full time

    Pharmacist I Req #: 0000226872 Category: Pharmacy Status: Full-Time Shift: Day Facility: Newark Beth Israel Medical Center Department: Pharmacy Pay Range: $65.41 - $81.78 per hourLocation: 201 LYONS AVENUE, NEWARK, NJ 07112-2027 Job Title: Pharmacist I Location: Newark Beth Israel Medical Ctr Department Name: Pharmacy Req #: 0000226872 Status:...

  • Pharmacist I

    5 days ago

    Newark, NJ, United States RWJBarnabas Health Full time

    Pharmacist I Req #: 0000226776 Category: Pharmacy Status: Full-Time Shift: Day Facility: Newark Beth Israel Medical Center Department: Pharmacy Pay Range: $65.41 - $81.78 per hourLocation: 201 LYONS AVENUE, NEWARK, NJ 07112-2027 Job Title: Pharmacist I Location: Newark Beth Israel Medical Ctr Department Name: Pharmacy Req #: 0000226776 Status:...