Certified Risk Adjustment Coder - Remote
2201 Donley Drive Austin, TX 78758 United States of America
Job Description
L.K.Jordan & Associates looking for an organized Certified Risk Adjustment Coder to become a member of our team!
Remote in TEXAS
Six - Nine Months Project
Start ASAP
The Certified Risk Adjustment Coder coordinates the processing of fees for professional services provided to clients, including those from assigned client components. Using knowledge of multiple coding systems and procedures, the Certified Coder will analyze client medical records, determine billable charges, and assign national-standard codes to medical diagnoses and procedures. The Certified Risk Adjustment Coder will analyze complex medical records to ensure that medical billing conforms to legal and procedural requirements, and advise providers regarding billing and documentation policies and procedures. In addition, they will review, develop, and/or modify procedures, systems, and protocols to achieve and maintain compatibility with established billing requirements and assist in training and the support of activities of new Certified Coders, as appropriate to the position.
Our Certified Coders will be responsible for:
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Reviewing, developing, modifying, and/or adapting relevant procedures, protocols, and data management systems to ensure that client billing operations meet the organizational needs
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Analyzing and interpreting clients’ medical records to identify and determine amount and nature of billable services; assigning and sequencing appropriate diagnostic/procedure billing codes, in compliance with third party payer requirements, contractual arrangements, and protocols
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Advising and instructing providers regarding billing and documentation policies, procedures, and regulations
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Training and/or providing backup to other Certified Coders as appropriate to workload requirements
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Monitoring billing performances to ensure optimal reimbursement while adhering to regulations prohibiting unbundling and other questionable practices; preparing periodic reports for clinical staff identifying unbilled charges due to i inadequate documentation
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Interacting with department heads and other administrative staff regarding implementation of new codes and revision of charge documents
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Monitoring external data sources to ensure receipt and analysis of all charges
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Researching inquiries from providers and members about fees, reimbursements, and denials
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Ensuring strict confidentiality of financial records
Successful Certified Coders will have:
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Minimum 3 years of experience directly related to the duties and responsibilities specified
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Completed degree(s) from an accredited institution that are above the minimum education requirement; may be substituted for experience on a year-for-year basis
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Must maintain certification status
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Ability to gather data, compile information, and prepare reports
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Knowledge of auditing concepts and principles
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Ability to communicate effectively, both orally and in writing
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Knowledge of legal and policy constraints pertaining to patient billing
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Advanced knowledge of medical coding, billing systems, and regulatory requirements
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Ability to maintain quality and safety standards, and manage confidential information
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Advanced knowledge of medical terminology, anatomy, and physiology, along with the ability to communicate medical information to professional practitioners and/or the general public
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Comprehensive knowledge of Risk Coding in a professional billing setting as related to value based contracts
Additional Skills & Experiences Preferred include:
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Certification/Licensure Certification in CRC, CCS, CCS-P, RHIA, RHIT, CPC, or specialty coding
If you are passionate about health care and you want to create something new together, we want you to be a part of our team! We welcome referrals!
To apply, email resume to yoany.torres@lkjordan.com
or call Yoany at 512-342-0302
#LKJATX