Coder I – Risk Adjustment, Geisinger Health Plan (Work from home Eastern United States EST)
Job Summary
Risk Adjustment coding is the transformation of verbal descriptions of diseases and injuries into alphanumeric designations. The coding process reviews and analyzes health records to identify relevant diagnoses for distinct patient encounters. A joint effort between the healthcare provider and the coder is essential to achieve complete and accurate documentation, code assignment, and reporting of diagnoses.
Job Duties
• Reviews the content of the medical record for hospital and professional inpatient and outpatient records to identify diagnosis codes.
• Carefully details review of documents such as various scan reports, history and physical, consultations, progress notes and office visit records needed to ensure all pertinent diagnoses are recorded.
• Translates all diagnostic phrases utilized by healthcare providers into coded form.
• Using the Encoder software program, determines the codes for all risk adjustable diagnoses.
• Assigns codes based on hospital and professional coding guidelines, Coding Clinic directives, federal regulations, CCI coding initiatives, CPT Assistant or other standard coding guidelines.
• Updates and corrects historical file data by completing and submitting possible deletes.
Work is typically performed in a home office environment. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job.
Position Details
Coder level II requires minimum one coding certification: CPC - Certified Professional Coder; CRC - Certified Risk Adjustment Coder; RHIT - Registered Health Information Technician
Education
High School Diploma or Equivalent (GED) - Required, Graduate from Specialty Training Program - Preferred
Experience
Minimum of 1 year - Related work experience (Required)
Certification(s) and License(s)
Certified Professional Coder - American Academy of Professional Coders (AAPC); Certified Risk Adjustment Coder - American Academy of Professional Coders (AAPC); Registered Health Information Technician (RHIT) - American Health Information Management Association
Skills
Communication, Computer Literacy, Medical Records Management, Medical Records Systems, Teamwork, Working Independently
Our Purpose & Values
• KINDNESS: We strive to treat everyone as we would hope to be treated ourselves.
• EXCELLENCE: We treasure colleagues who humbly strive for excellence.
• LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow.
• INNOVATION : We constantly seek new and better ways to care for our patients, our members, our community, and the nation.
• SAFETY: We provide a safe environment for our patients and members and the Geisinger family.
We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners. Perhaps just as important, we encourage an atmosphere of collaboration, cooperation and collegiality.
We know that a diverse workforce with unique experiences and backgrounds makes our team stronger. Our patients, members and community come from a wide variety of backgrounds, and it takes a diverse workforce to make better health easier for all. We are proud to be an affirmative action, equal opportunity employer and all qualified applicants will receive consideration for employment regardless to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or status as a protected veteran.
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Salary: USD 36000 - 60000 per year
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Risk Adjustment coding is the transformation of verbal descriptions of diseases and injuries into alphanumeric designations. The coding process reviews and analyzes health records to identify relevant diagnoses for distinct patient encounters. A joint effort between the healthcare provider and the coder is essential to achieve complete and accurate documentation, code assignment, and reporting of diagnoses.
Job Duties
• Reviews the content of the medical record for hospital and professional inpatient and outpatient records to identify diagnosis codes.
• Carefully details review of documents such as various scan reports, history and physical, consultations, progress notes and office visit records needed to ensure all pertinent diagnoses are recorded.
• Translates all diagnostic phrases utilized by healthcare providers into coded form.
• Using the Encoder software program, determines the codes for all risk adjustable diagnoses.
• Assigns codes based on hospital and professional coding guidelines, Coding Clinic directives, federal regulations, CCI coding initiatives, CPT Assistant or other standard coding guidelines.
• Updates and corrects historical file data by completing and submitting possible deletes.
Work is typically performed in a home office environment. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job.
Position Details
Coder level II requires minimum one coding certification: CPC - Certified Professional Coder; CRC - Certified Risk Adjustment Coder; RHIT - Registered Health Information Technician
Education
High School Diploma or Equivalent (GED) - Required, Graduate from Specialty Training Program - Preferred
Experience
Minimum of 1 year - Related work experience (Required)
Certification(s) and License(s)
Certified Professional Coder - American Academy of Professional Coders (AAPC); Certified Risk Adjustment Coder - American Academy of Professional Coders (AAPC); Registered Health Information Technician (RHIT) - American Health Information Management Association
Skills
Communication, Computer Literacy, Medical Records Management, Medical Records Systems, Teamwork, Working Independently
Our Purpose & Values
• KINDNESS: We strive to treat everyone as we would hope to be treated ourselves.
• EXCELLENCE: We treasure colleagues who humbly strive for excellence.
• LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow.
• INNOVATION : We constantly seek new and better ways to care for our patients, our members, our community, and the nation.
• SAFETY: We provide a safe environment for our patients and members and the Geisinger family.
We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners. Perhaps just as important, we encourage an atmosphere of collaboration, cooperation and collegiality.
We know that a diverse workforce with unique experiences and backgrounds makes our team stronger. Our patients, members and community come from a wide variety of backgrounds, and it takes a diverse workforce to make better health easier for all. We are proud to be an affirmative action, equal opportunity employer and all qualified applicants will receive consideration for employment regardless to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or status as a protected veteran.
#J-18808-Ljbffr
Salary: USD 36000 - 60000 per year
Apply tot his job
Apply To this Job