Remote Clinical Reader (JO-1412-1459) Alpharetta, Georgia
As a Remote Clinical Reader for Altera Health you will be expected to review medical records and apply appropriate ICD-9-CM diagnostic codes. Throughout the project you will follow both official coding and risk adjustment guidelines. This opportunity allows for great flexibility in work hours, work load and personal goals as this position is a work from home job that can range from 20 to 40 hours per week. Although this is a short term project that is starting now until the end of December, we are preparing for the biggest season in company history, with many more to follow, therefore, join us in reaching new goals and maintaining our position as the leader of the industry. Thus, if you would like to work from the comfort of your own home, while creating your own schedule, please read the below detailed information and apply today.
Responsibilities:
- Abstract pertinent information from patient medical records. Assign appropriate ICD-9-CM codes, creating HCC and/or RxHCC group assignments as applicable.
- Assign Outcomes flagged event codes when documentation in the record is inadequate, ambiguous, or otherwise unclear for medical coding purposes.
- Remain current on medical coding guidelines and reimbursement reporting requirements.
- Check chart assignments every day and report accurately all hours worked on a weekly basis.
- Report work-related concerns to assigned Production Manager and, if not adequately addressed, to Director of Clinical Operations.
- Comply with the Standards of Ethical Coding as set forth by the American Health Information Management Association, and adhere to official coding guidelines.
- Comply with HIPAA laws and regulations
- Participate in testing and training as required by the Company
Qualifications:
- Active nursing license (RN or LPN) and/or certified coder certification required; and
- At least one (1) years’ experience as a medical coder/abstractor.
- Extensive knowledge of ICD-9-CM outpatient diagnosis coding guidelines (with knowledge and demonstrated understanding of CMS HCC Risk Adjustment coding and data validation requirements is preferred);
- Ability to code using an ICD-9-CM code book (without using an encoder);
- Strong clinical skills related to chronic illness diagnosis, treatment and management;
- Reliability and a commitment to meeting tight deadlines (24-hour turnaround time on all assigned charts);
- Personal discipline to work remotely without direct supervision;
- Exemplary attention to detail and completeness—all medical coders must maintain minimum QA passing requirements based on HCC scoring model (HCCx < or equal to 6 and HCCm < or equal to 6);
- Computer proficiency (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 better;
- Strong organization skills;
- Strong interpersonal and customer service skills;
- Strong written and oral communication skills; and
- Strong analytical skills;
- Knowledge of HIPAA recognizing a commitment to privacy, security and confidentiality of all medical chart documentation.