Qualifications
Required Qualifications:• Active nursing license (RN or LPN) and/or certification as a coder through AHIMA or AAPC.• Minimum of one year of experience as a medical coder or abstractor.• Strong understanding of ICD-9-CM outpatient diagnosis coding guidelines; familiarity with CMS HCC Risk Adjustment coding and data validation requirements is highly preferred.• Proficient with coding using an ICD-9-CM code book without reliance on an encoder.• Possess strong clinical skills related to chronic illness diagnosis, treatment, and management.• Demonstrated reliability and commitment to meeting tight deadlines, including a 24-hour turnaround time on all assigned charts.• Self-discipline to work remotely without direct supervision.• Exceptional attention to detail and thoroughness; coders must meet minimum QA passing requirements based on the HCC scoring model (HCCx ≤ 5 and HCCm ≤ 5).• Proficient in computer skills, including MS Windows, MS Office, and the Internet.• Must have high-speed Internet access, a home computer with a current Windows operating system, MS Internet Explorer (version 6.0.2 or better), and Adobe 6.0 or newer.• Excellent organizational, interpersonal, customer service, written, and verbal communication skills, along with strong analytical abilities.• Knowledge of HIPAA regulations, demonstrating a commitment to the privacy, security, and confidentiality of all medical chart documentation.
About the job
Join Altegra Health as a Remote Certified Medical Coder in Dallas! This is a temporary, home-based position expected to continue through the end of 2015. Our Coders will be compensated per chart, ensuring flexibility and efficiency in your work. As a Remote Certified Coder, you will meticulously review medical records, applying the appropriate ICD-9-CM diagnostic codes while adhering to Altegra Health's quality assurance standards, including compliance with Official Coding Guidelines and Risk Adjustment Guidelines.
Key Responsibilities:
• Extract essential information from patient medical records and assign suitable ICD-9-CM codes, including HCC and/or RxHCC group assignments as needed.
• Utilize Altegra Health Flagged Event codes when documentation is ambiguous or insufficient for accurate medical coding.
• Stay updated on medical coding guidelines and reimbursement reporting requirements.
• Review your chart assignments daily and accurately report all hours worked on a weekly basis.
• Communicate any work-related concerns to your designated Coder Advocate, escalating to the Senior Manager of Clinical Operations if necessary.
• Uphold the Standards of Ethical Coding as established by the American Health Information Management Association, while strictly following official coding guidelines.
• Ensure compliance with HIPAA laws and regulations.
• Engage in testing and training as required by the company.
About Altegra Health
Altegra Health is a comprehensive partner in healthcare data auditing and analytics. We provide end-to-end solutions aimed at enhancing payment integrity data, supporting accreditation initiatives, and ensuring compliance with regulatory requirements. With a nationwide network of registered nurses and certified coders, Altegra Health excels in acquiring, auditing, and analyzing healthcare data for healthcare organizations. Our specialties include:CMS HCC Risk AdjustmentHEDISMedical Record Reviews (Accreditation)And more
