Senior Professional Coder

We are looking for a Senior Coder to join our growing team. You will be offered a competitive hourly rate ranging between $43.25 - $47.89/ hour BOE. We will also provide you a comprehensive benefits package.

As a Senior Coder you will provide services to perform code abstraction using the Official Coding Guidelines for ICD-9-CM/ICD-10-CM, AHA Coding Clinic Guidance, and in accordance with all state regulations, federal regulations, internal policies, and internal procedures

Responsibilities of the Senior Coder:

• Compile chart review findings statistics, analyze data results and implement meaningful action plans that improve providers' performance levels
• Education new staff to produce and maintain 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 work flow
• Work closely with inter-departmental team management to support coding initiatives related to risk adjustment programs
• As a Subject Matter Expert, this person will support risk adjustment coding initiatives to identify opportunities to enhance and grow business
• Responsible for educating and keeping management informed on current changes in regulations/guidance related to ICD-10 coding and quality documentation and reporting
• Interface 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
• Can 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
• Maintains department productivity and accuracy standards